Individual provider Active NPI

Karen S Maluf, MD

  • Internal Medicine Physician
  • Chickasha, OK
National Provider Identifier
1689658601
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20779 Issued in OK
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

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100147280AMedicaidOK

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
Green means eligible to order or refer.

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

State licenses

LicenseStateTypeSpecialty
20779OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc CurrentSince Jul 1, 2000 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Jul 1, 2000 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.

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

Verify at the official NPI Registry.