Active NPI
Jagjit Khosla, MD
- Cardiovascular Disease Physician
- Okc, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 37915
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Jackson County Memorial Hospital Authority
- Duncan Regional Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Hospital Authority | Cardiovascular Disease | Current | Accepting new patients |
| Comanche County Hospital Authority | Current | Accepting new patients | |
| Comanche County Hospital Authority | Current | 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.
-
- Cardiovascular Disease Physician
- Lawton, OK
- NPI 1003155821
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Community/Retail Pharmacy
- Lawton, OK
- NPI 1427130947
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.