Individual provider Active NPI

Samuel Jay Lensgraf, MD

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1699733899
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15876 Issued in OK
Practice address
2816 NW 57TH Street
Suite 104
Oklahoma City, OK 73112-7042
Phone
(405) 848-7882
Fax
(405) 848-7818
NPI assigned
May 4, 2006
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15876 OK Primary

Addresses

Primary practice location

2816 NW 57TH Street
Suite 104
Oklahoma City, OK 73112-7042

Mailing address

2816 NW 57TH St
Suite 104
Oklahoma City, OK 73112-7042
Phone (405) 848-7882

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
I20051010000438 OK Practitioner - Psychiatry 4284660036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2816 NW 57TH St
Suite 104
Oklahoma City, OK 73112-7042
Phone (405) 848-7882

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Psychiatric PC Psychiatry CurrentSince Mar 31, 2005 Accepting new patients
Leslie Bell, LCSW, P.C. PastSince May 2, 2005 Accepting new patients

Locations

2816 NW 57th St
Ste 104
Oklahoma City, OK 73112
Phone (405) 848-7882

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1699733899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 NW 57TH ST",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127042",
            "telephone_number": "405-848-7882",
            "fax_number": "405-848-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 NW 57TH STREET",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127042",
            "telephone_number": "405-848-7882",
            "fax_number": "405-848-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSGRAF",
        "first_name": "SAMUEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "15876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.