Active NPI
Sudhir R Daftary, MD
- Anesthesiology Physician
- Muskogee, OK
National Provider Identifier
1609978097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 23519
- Practice address
- 300 Rockefeller Dr
Muskogee, OK 74401-5075 - Phone
- (918) 684-2557
- Fax
- (405) 948-6507
- NPI assigned
- Sep 5, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 23519 | OK | Primary |
Addresses
Primary practice location
300 Rockefeller Dr
Muskogee, OK 74401-5075
Mailing address
PO Box 1664
Muskogee, OK 74402-1664
Phone (405) 947-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00201962 | Other | OK | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Surgical Care LP | Past | Accepting new patients | |
| Providence Physician Group Inc | Anesthesiology | Past | Accepting new patients |
| Jer Medical Associates | Past | Accepting new patients |
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.
-
- Certified Registered Nurse Anesthetist
- Muskogee, OK
- NPI 1861436636
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Muskogee, OK
- NPI 1689860645
-
- Specialist
- New Castle, PA
- NPI 1588674451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609978097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1664",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744021664",
"telephone_number": "405-947-8585",
"fax_number": "405-948-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROCKEFELLER DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015075",
"telephone_number": "918-684-2557",
"fax_number": "405-948-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAFTARY",
"first_name": "SUDHIR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "23519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00201962",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.