Gaurangi Manek Anklesaria, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13575 Issued in OK

Practice address

817 S Elm PL
#104
Broken Arrow, OK 74012-5369

Phone

(918) 251-9698

Fax

(918) 251-8805

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4

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.

• National Family Medical Associates, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720

  Family Medicine

  Medicare reassignment NPD
• Crestcare Family Medicine,PLLC

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1174139554
  NPD Authorized official
• Harvard Family Physicians P C

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1306891288
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659457703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ELM PL",
            "address_2": "#104",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-251-9698",
            "fax_number": "918-251-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ELM PL",
            "address_2": "#104",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-251-9698",
            "fax_number": "918-251-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKLESARIA",
        "first_name": "GAURANGI",
        "middle_name": "MANEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "13575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Anderson Jr., MSCJ
• Ginger Andresen, M.S. SLP-CCC
• Becky Andrews
• Jonathan David Angieri I
• Anji Brassfield O.D. P.C. (Family Vision Care)
• Heather Ranee Anthony
• Lisa Anton, BCBA
• Apex Hormones and Wellness, LLC
• Apex Wound Specialists LLC
• Apex Wound Specialists LLC

• Family Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.