Active NPI
Omar A Abu Anza, MD
- Pediatric Cardiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 38427
- Practice address
- 1200 Everett Dr # Np2350
Oklahoma City, OK 73104-5047 - Phone
- (405) 271-5530
- NPI assigned
- Apr 25, 2015
- Last updated
- Jul 29, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 38427 | OK | Primary |
Addresses
Primary practice location
1200 Everett Dr # Np2350
Oklahoma City, OK 73104-5047
Mailing address
1200 Everett Dr
Oklahoma City, OK 73104-5047
Phone (452) 271-4411
Other practice location 1
219 Bryant St
Buffalo, NY 14222-2006
Phone (716) 878-7432
Other practice location 2
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 353-8105
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Pediatric Cardiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112
1200 Childrens Ave
Ste 2F
Oklahoma City, OK 73104
Phone (405) 271-4411
1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-2429
1200 Everett Dr
#2350
Oklahoma City, OK 73104
Phone (405) 271-4411
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- oabuanza29988@ouhealth.direct-ci.net
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1922192186
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Pediatric Cardiology Physician
- Sacramento, CA
- NPI 1144213166
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1629465802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "452-271-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EVERETT DR # NP2350",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "405-271-5530"
}
],
"practiceLocations": [
{
"address_1": "219 Bryant St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142222006",
"country_code": "US",
"telephone_number": "716-878-7432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-353-8105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABU ANZA",
"first_name": "OMAR",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-25",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OK",
"license": "38427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Absolute Best Care Oklahoma LLC
- Absolute Confidential Counseling PLLC
- Absolute Health Chiropractic
- Absolute Senior Care Acquistions LLC (Absolute Senior CAre)
- Brittney Abston
- Mazen S Abu-Fadel, M.D.
- Lamia Amin Ahmad Abughazaleh, MD
- Mo'Tasem Suffyan Baker Abujaber, MD
- Ernest Tabi Abunaw, M.D.
- Lillian Epenza Abunaw, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.