Kamran Mohajer Massoumi, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

23117 Issued in OK

Practice address

1020 N Main St
Elk City, OK 73644-2831

Phone

(580) 225-1555

Fax

(580) 225-1558

NPI assigned

May 24, 2005

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Ophthalmology

Education

Saint Louis University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Eye InstituteGroup PAC ID 1759519754, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmassoumi@oklahomaeyeinstitute.imwdirect.com

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.

• Oklahoma Eye Institute

  • Ophthalmology Physician
  • Elk City, OK
  • NPI 1780011734
  Medicare reassignment Care Compare group NPD Authorized official
• Southwestern Oklahoma Surgical Associates, LLC

  • Ambulatory Surgical Clinic/Center
  • Lawton, OK
  • NPI 1841952397
  Medicare reassignment NPD
• Oklahoma Eye Institute, LLC

  • Ophthalmology Physician
  • Wichita Falls, TX
  • NPI 1730611401
  NPD Authorized official
• Oklahoma Eye Institute Procedures LLC

  • Ambulatory Surgical Clinic/Center
  • Elk City, OK
  • NPI 1053096321
  Authorized official Same address or phone
• Southwestern Oklahoma Surgical Associates, LLC

  dba Omni Surgical Center

  • Certified Registered Nurse Anesthetist
  • Lawton, OK
  • NPI 1689431553
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1639172604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442831",
            "telephone_number": "580-225-1555",
            "fax_number": "580-225-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442831",
            "telephone_number": "580-225-1555",
            "fax_number": "580-225-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUMI",
        "first_name": "KAMRAN",
        "middle_name": "MOHAJER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "23117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7072482",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015260A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2386811",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171274701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Maddox, MED
• Alecia Malson, C-CHW
• Kellie Renee Marshall
• Toni Martin
• Izabel Martinez, HAS
• Amy Marie McAlister, RN
• McArthur Family Clinic LLC
• Kasee McArthur, APRN C-NP
• Deborah K McFarlin, LCSW
• Eileen L. McGee, LPC, LADC

• Ophthalmology Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.

Verify at the official NPI Registry.