Individual provider Active NPI

Kamal Hwail, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1700766920
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
510 E Memorial Rd Ste A4
Oklahoma City, OK 73114-2218
Phone
(405) 777-4726
NPI assigned
Sep 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OK Primary

Addresses

Primary practice location

510 E Memorial Rd Ste A4
Oklahoma City, OK 73114-2218

Mailing address

8113 NW 153Rd St
Edmond, OK 73013-9175
Phone (616) 826-2945

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102003569 OK Practitioner - Physician Assistant 0840786430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimum Care Hospitalist Group PLLCGroup PAC ID 3779862446, 22 clinicians

Practice addresses (Care Compare)

1 S Bryant Ave
Edmond, OK 73034-6309
Phone (405) 341-6100

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323
  • Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5756OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Primary Care PLLC CurrentSince Sep 19, 2025 Accepting new patients
Optimum Post Acute Care PLLC CurrentSince Sep 19, 2025 Accepting new patients
Optimum Care Hospitalist Group PLLC CurrentSince Feb 9, 2026 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

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

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

510 E Memorial Rd
Ste A4
Oklahoma City, OK 73114
Phone (405) 777-4726

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.

Hospital & facility affiliations 8

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1700766920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 NW 153RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139175",
            "telephone_number": "616-826-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MEMORIAL RD STE A4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142218",
            "telephone_number": "405-777-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWAIL",
        "first_name": "KAMAL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.