Organization Active NPI

Access Endocrine, Thyroid and Diabetes Center

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1609893403
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13262 Issued in OK
Legal business name
ACCESS ENDOCRINE, THYROID AND DIABETES CENTER
Practice address
6001 NW 120TH CT
Suite 6
Oklahoma City, OK 73162-1700
Phone
(405) 728-7329
Fax
(405) 720-2611
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Modhi Gude, MDNPI 1346272523
Title
Owner
Phone
(405) 728-7329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13262 OK Primary

Addresses

Primary practice location

6001 NW 120TH CT
Suite 6
Oklahoma City, OK 73162-1700

Mailing address

PO Box 268988
Oklahoma City, OK 73126-8988
Phone (405) 843-2066

Other identifiers 3

IdentifierTypeStateIssuer
447721027005OtherOKBCBS
100131440AMedicaidOK
37D0471461OtherOKCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100215000707 OK Part B Supplier - Clinic/Group Practice 8123162187 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

6001 NW 120th Ct
Ste 6
Oklahoma City, OK 73162
Phone (405) 681-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1609893403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268988",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268988",
            "telephone_number": "405-843-2066",
            "fax_number": "405-843-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 120TH CT",
            "address_2": "SUITE 6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621700",
            "telephone_number": "405-728-7329",
            "fax_number": "405-720-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS ENDOCRINE, THYROID AND DIABETES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "GUDE",
        "authorized_official_first_name": "MODHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-728-7329",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "13262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "447721027005",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131440A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D0471461",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.