Individual provider Active NPI

Alfred Charles Husen, D.O

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1689874992
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4527 Issued in OK
Practice address
17209 Picasso Dr
Oklahoma City, OK 73170-6607
Phone
(405) 761-9421
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4527 OK Primary

Addresses

Primary practice location

17209 Picasso Dr
Oklahoma City, OK 73170-6607

Mailing address

17209 Picasso Dr
Oklahoma City, OK 73170-6607
Phone (405) 761-9421

Other identifiers 1

IdentifierTypeStateIssuer
200122210AMedicaidOK

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
I20071220000285 OK Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 8022108794 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
63.86 of 100Reported as individual
Quality
30.4
Improvement activities
40
Cost
80.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Midwest Hospital Medicine Associates PC CurrentSince Mar 15, 2026 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Jul 8, 2014 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients
McBride Clinic Orthopedic Hospital, LLC Past Accepting new patients
Washita Emergency Physicians LLC Emergency Medicine Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients
Hughes Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: ahusen165199@direct-ehr-ssmhc.com

Organizations & group practices 10

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1689874992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17209 PICASSO DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706607",
            "telephone_number": "405-761-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17209 PICASSO DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706607",
            "telephone_number": "405-761-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEN",
        "first_name": "ALFRED",
        "middle_name": "CHARLES",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200122210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.