Individual provider Active NPI

Kirtida Gurjar Kumar, MD

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1649274374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17510 Issued in OK
Practice address
3433 NW 56TH St
Ste 800
Oklahoma City, OK 73112-4452
Phone
(405) 946-9831
NPI assigned
Jun 10, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 17510 OK Primary

Addresses

Primary practice location

3433 NW 56TH St
Ste 800
Oklahoma City, OK 73112-4452

Mailing address

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone (405) 948-9831

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
I20091212000071 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 3072683663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC CurrentSince Nov 8, 2011 Accepting new patients
Kirtida Kumar MD PLLC Gastroenterology CurrentSince Jul 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

13301 N Meridian Ave
Ste 501
Oklahoma City, OK 73120
Phone (405) 608-2772

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Ste 800
Oklahoma City, OK 73112
Phone (405) 946-9831

Interoperability endpoints

  • Direct secure messaging: kkumar9569@direct.integrisok.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649274374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-948-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 800",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124452",
            "telephone_number": "405-946-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "KIRTIDA",
        "middle_name": "GURJAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "17510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.