Individual provider Active NPI

Jagjit Khosla, MD

  • Cardiovascular Disease Physician
  • Okc, OK
National Provider Identifier
1639697402
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37915 Issued in OK
Practice address
800 Stanton L Young Blvd,
Aat 5481
Okc, OK 73104
Phone
(405) 271-4742
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37915 OK Primary

Addresses

Primary practice location

800 Stanton L Young Blvd,
Aat 5481
Okc, OK 73104

Mailing address

800 Stanton L Young Blvd,
Aat 5481
Okc, OK 73104-5018
Phone (405) 271-4742

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
I20250527000944 OK Practitioner - Cardiac Surgery 0547668642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comanche County Hospital AuthorityGroup PAC ID 6406094424, 9 clinicians
Comanche County Hospital AuthorityGroup PAC ID 2668373689, 54 clinicians

Practice addresses (Care Compare)

3106 NW Arlington Ave
County Memorial Hospital
Lawton, OK 73505-6123
Phone (580) 250-4278

3401 W Gore Blvd
Heart and Vascular
Lawton, OK 73505-6332
Phone (580) 483-5207

Hospital & facility affiliations

  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority Cardiovascular Disease CurrentSince May 20, 2025 Accepting new patients
Comanche County Hospital Authority CurrentSince Jun 1, 2025 Accepting new patients
Comanche County Hospital Authority CurrentSince Jun 1, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3106 NW Arlington Ave
Lawton, OK 73505
Phone (580) 250-4278

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 5

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1639697402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD,",
            "address_2": "AAT 5481",
            "city": "OKC",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD,",
            "address_2": "AAT 5481",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "JAGJIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "37915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okc, OK

Sources for this page

Verify at the official NPI Registry.