Individual provider Active NPI

David German Calenzani, M.D.

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1659390284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14817 Issued in OK
Practice address
4200 W Memorial Rd Ste 804
Oklahoma City, OK 73120-8305
Phone
(405) 751-2600
Fax
(405) 751-5475
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X 14817 OK Primary

Addresses

Primary practice location

4200 W Memorial Rd Ste 804
Oklahoma City, OK 73120-8305

Mailing address

4200 W Memorial Rd Ste 804
Oklahoma City, OK 73120-8305
Phone (405) 751-2600

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
I20090311000096 OK Practitioner - Psychiatry 8224194634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pathways Unlimited Inc CurrentSince Sep 1, 1997 Accepting new patients

Locations

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659390284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 804",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208305",
            "telephone_number": "405-751-2600",
            "fax_number": "405-751-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 804",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208305",
            "telephone_number": "405-751-2600",
            "fax_number": "405-751-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALENZANI",
        "first_name": "DAVID",
        "middle_name": "GERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "14817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.