Omar A Abu Anza, MD
Individual provider Active NPI Pediatric Cardiology Physician · Oklahoma City, OK
NPI 1629465802 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1629465802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 38427 (OK)
- Practice address
- 1200 Everett Dr # Np2350
Oklahoma City, OK 73104-5047 - Phone
- (405) 271-5530
- NPI assigned
- Apr 25, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ou Health Partners Inc
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
- O U Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210914000821 | OK | Practitioner - Cardiovascular Disease (Cardiology) |
1254737414 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
| Mercy Hospital Oklahoma City, Inc | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current |
Accepting new patients | |
| Ou Health Partners, Inc | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1200 Childrens Ave
Ste 2F
Oklahoma City, OK 73104
Phone (405) 271-4411
1200 Everett Dr
#2350
Oklahoma City, OK 73104
Phone (405) 271-4411
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-5125
Interoperability endpoints
- oabuanza29988@ouhealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 38427 | OK | Yes |
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
Other providers in Oklahoma City, OK
- Absolute Best Care Oklahoma LLC
- Absolute Confidential Counseling PLLC
- Absolute Health Chiropractic
- Absolute Senior Care Acquistions LLC
- Brittney Abston
- Mazen S Abu-Fadel
- Lamia Amin Ahmad Abughazaleh
- Mo'Tasem Suffyan Baker Abujaber
- Ernest Tabi Abunaw
- Lillian Epenza Abunaw
All providers in Oklahoma City, OK · Pediatric Cardiology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.