Active NPI
Edgardo Luevano, PA-C
- Physician Assistant
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5131
- Practice address
- 3075 Classen Blvd Ste 105
Norman, OK 73071-4004 - Phone
- (405) 427-4941
- Fax
- (405) 951-8849
- NPI assigned
- Oct 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5131 | OK | Primary |
Addresses
Primary practice location
3075 Classen Blvd Ste 105
Norman, OK 73071-4004
Mailing address
3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 427-4941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109000105 | OK | Practitioner - Physician Assistant | 5991156507 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integris Health Allset Urgent Care LLC
Practice addresses (Care Compare)
1116 N Robinson Ave
Oklahoma City, OK 73103-4918
Phone (405) 427-4951
2201 NW 150TH St
Suite 100
Edmond, OK 73013-2264
Phone (405) 938-2006
3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155
3224 S Broadway
Suite 112
Edmond, OK 73013-4069
Phone (405) 427-4945
5401 N Penn Ave
Oklahoma City, OK 73112-7751
Phone (405) 427-4944
6900 NW 122ND St
Suite 105
Oklahoma City, OK 73142-3908
Phone (405) 427-4943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5131 | OK | MD | Orthopedic Physical Therapist |
Interoperability endpoints
- eluevano517570@direct.integrisok.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1609658129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 QUAIL SPRINGS PKWY FL 5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342640",
"telephone_number": "405-427-4941",
"fax_number": "405-951-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 CLASSEN BLVD STE 105",
"city": "NORMAN",
"state": "OK",
"postal_code": "730714004",
"telephone_number": "405-427-4941",
"fax_number": "405-951-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEVANO",
"first_name": "EDGARDO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-18",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "5131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.