Active NPI
Jessica Marie Fazendin, M.D.
- Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 45139
- Practice address
- 825 NE 10TH St Ste 4G
Oklahoma City, OK 73104-5417 - Phone
- (405) 271-5789
- Fax
- (405) 271-1643
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 38362 | AL | |
| Surgery Physician | 208600000X | 45139 | OK | Primary |
Addresses
Primary practice location
825 NE 10TH St Ste 4G
Oklahoma City, OK 73104-5417
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice location 1
2000 6th Ave S
Birmingham, AL 35233-2110
Phone (205) 975-5372
Other practice location 2
245 N 15th St
Ms 413
Philadelphia, PA 19102-1101
Phone (215) 762-3058
Other practice location 3
619 19th St S
Birmingham, AL 35249
Phone (205) 934-4011
Other names 1
- Jessica Marie Bartelt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmfazendin@direct.uabmedicine.org | Direct | University of Alabama Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 NE 13TH St
Ouhp Child Study Center
Oklahoma City, OK 73117-1039
Phone (405) 271-5700
1122 NE 13TH St
Oklahoma City, OK 73117-1039
800 NE 10TH St
Ouhp Stephenson Cancer Center
Oklahoma City, OK 73104-5418
Phone (405) 271-1112
825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
940 NE 13TH St
Oklahoma City, OK 73104-5008
Phone (405) 271-6625
Hospital & facility affiliations
- O U Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
825 NE 10th St
Ste 4G
Oklahoma City, OK 73104
Phone (405) 271-5789
825 NE 10th St
#4G
Oklahoma City, OK 73104
Phone (405) 271-5789
Interoperability endpoints
- jmfazendin@direct.uabmedicine.org
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764201600000",
"number": "1689013005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NE 10TH ST STE 4G",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045417",
"telephone_number": "405-271-5789",
"fax_number": "405-271-1643"
}
],
"practiceLocations": [
{
"address_1": "2000 6th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352332110",
"country_code": "US",
"telephone_number": "205-975-5372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 N 15th St",
"address_2": "MS 413",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021101",
"country_code": "US",
"telephone_number": "215-762-3058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "35249",
"country_code": "US",
"telephone_number": "205-934-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAZENDIN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2025-11-27",
"certification_date": "2025-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "AL",
"license": "38362",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "45139",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmfazendin@direct.uabmedicine.org",
"affiliation": "Y",
"affiliationName": "University of Alabama Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 6th Ave S",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352332110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BARTELT",
"middle_name": "MARIE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.