Individual provider Active NPI

Audralan Fox, MD

  • Family Medicine Physician
  • Del City, OK
National Provider Identifier
1689716219
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25086 Issued in OK
Practice address
5472 Main St Ste 101
Del City, OK 73115-5524
Phone
(904) 421-2119
Fax
(405) 271-2797
NPI assigned
Feb 12, 2007
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25086 OK Primary

Addresses

Primary practice location

5472 Main St Ste 101
Del City, OK 73115-5524

Mailing address

PO Box 108809
Oklahoma City, OK 73101-8809
Phone (405) 622-3699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Audralan.Fox@35659640274948.direct.elationemr.com

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
I20090721000510 OK Practitioner - Family Practice 0143372235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fusion MD PLLCGroup PAC ID 0042506701, 6 clinicians

Practice addresses (Care Compare)

5472 Main St
Suite 101
Del City, OK 73115-5524
Phone (405) 622-3699

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25086OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion MD PLLC CurrentSince Jul 2, 2016 Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Hma Urgent Care, LLC Past Accepting new patients

Locations

5472 Main St
Ste 101
Oklahoma City, OK 73115
Phone (405) 607-5920

Interoperability endpoints

  • Direct secure messaging: audralan.fox@35659640274948.direct.elationemr.com
  • Direct secure messaging: audralan.fox@411510842327044.direct.elationemr.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1689716219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "405-622-3699",
            "fax_number": "405-585-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 MAIN ST STE 101",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155524",
            "telephone_number": "904-421-2119",
            "fax_number": "405-271-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "AUDRALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Audralan.Fox@35659640274948.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "5472 Main St Ste 101",
            "city": "Del City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731155524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.