Individual provider Active NPI

Pavel Riha, MD, PHD

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1639172117
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19336 Issued in OK
Practice address
6500 Broadway Ext Ste 100
Oklahoma City, OK 73116-8203
Phone
(405) 231-8882
Fax
(405) 231-8884
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19336 OK Primary

Addresses

Primary practice location

6500 Broadway Ext Ste 100
Oklahoma City, OK 73116-8203

Mailing address

6500 Broadway Ext Ste 100
Oklahoma City, OK 73116-8203
Phone (405) 231-8882

Other identifiers 1

IdentifierTypeStateIssuer
100020740AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081229000424 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac ElectrophysiologyPractitioner - Other (Physician) 9638231681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care of Oklahoma, Inc.Group PAC ID 6709771207, 46 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7278

1226 N Shartel Ave
Suite 100
Oklahoma City, OK 73103-2432
Phone (405) 231-8882

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Merit-based Incentive Payment System (MIPS)

Final score
22.65 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19336OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Heartbeat, PC Specialist CurrentSince Nov 10, 2008 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

6500 Broadway Ext
#100
Oklahoma City, OK 73116
Phone (405) 231-8882

1226 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 232-8003

6500 Broadway Ext
Ste 100
Oklahoma City, OK 73116
Phone (405) 231-8882

1226 N Shartel Ave
Apt 100
Oklahoma City, OK 73103
Phone (400) 522-2254

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1639172117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROADWAY EXT STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168203",
            "telephone_number": "405-231-8882",
            "fax_number": "405-231-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROADWAY EXT STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168203",
            "telephone_number": "405-231-8882",
            "fax_number": "405-231-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIHA",
        "first_name": "PAVEL",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "19336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.