Active NPI
Karen S Maluf, MD
- Internal Medicine Physician
- Chickasha, OK
National Provider Identifier
1689658601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20779
- Practice address
- 2222 W Iowa Ave
Chickasha, OK 73018-2738 - Phone
- (405) 224-8111
- Fax
- (405) 222-9561
- NPI assigned
- Dec 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20779 | OK | Primary |
Addresses
Primary practice location
2222 W Iowa Ave
Chickasha, OK 73018-2738
Mailing address
1370 N Interstate Dr
Suite 154
Norman, OK 73072-3376
Phone (405) 224-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100147280A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20779 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| Lawton Urology | Past | Accepting new patients | |
| Ghazi M. Rayan, MD, Inc. | Past | Accepting new patients |
Locations
2222 W Iowa Ave
Chickasha, OK 73018
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.
-
- Clinic/Center
- Norman, OK
- NPI 1881499655
-
- Clinic/Center
- Chickasha, OK
- NPI 1962469098
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1972807667
-
- Urology Physician
- Lawton, OK
- NPI 1760997092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1689658601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 N INTERSTATE DR",
"address_2": "SUITE 154",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723376",
"telephone_number": "405-224-8111",
"fax_number": "405-222-9587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W IOWA AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182738",
"telephone_number": "405-224-8111",
"fax_number": "405-222-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALUF",
"first_name": "KAREN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "20779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100147280A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.