NPIMap

Individual provider Active NPI

Muhammad Sanaullah, M.D

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1699079400
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28187 Issued in OK
Practice address
1501 E 19TH St
Edmond, OK 73013-6618
Phone
(405) 471-6511
Fax
(405) 471-6522
NPI assigned
Jan 7, 2011
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 28187 OK Primary

Addresses

Primary practice location

1501 E 19TH St
Edmond, OK 73013-6618

Mailing address

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 777-4726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000155 OK Practitioner - Internal Medicine 0345412656 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Primary Care PLLCGroup PAC ID 2264853928, 14 clinicians
Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians

Practice addresses (Care Compare)

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 471-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.58 of 100Reported as group
Quality
72.72
Promoting interoperability
0
Improvement activities
30
Cost
63.63

Merit-based Incentive Payment System (MIPS)

Final score
69.13 of 100Reported as group
Quality
50.94
Improvement activities
30
Cost
71.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Post Acute Care PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Optimum Care Hospitalist Group PLLC Internal Medicine CurrentSince Oct 3, 2016 Accepting new patients
Midwest Hospitalist Group PLLC Internal Medicine CurrentSince Jan 8, 2019 Accepting new patients
Optimum Pac PLLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Optimum Primary Care PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
St Anthony Physicians Inpatient Medicine Internal Medicine PastSince Jul 1, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients
Shri LLC Internal Medicine Past Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

105 S Bryant Ave
Ste 108
Edmond, OK 73034
Phone (405) 359-9669

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

Interoperability endpoints

  • Direct secure messaging: msanaull@yourcarecommunity.org
  • Direct secure messaging: msanaullah59621@ouhealth.direct-ci.net

Organizations & group practices 12

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 4

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": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1699079400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 19TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136618",
            "telephone_number": "405-777-4726",
            "fax_number": "405-390-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 19TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136618",
            "telephone_number": "405-471-6511",
            "fax_number": "405-471-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAULLAH",
        "first_name": "MUHAMMAD",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.