Active NPI
Shantharam Darbe, M.D.
- Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1700950268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16024
- Practice address
- 515 Central Park Dr
Suite 107
Oklahoma City, OK 73105-1724 - Phone
- (405) 525-2222
- Fax
- (405) 848-8481
- NPI assigned
- Nov 17, 2006
- Last updated
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16024 | OK | Primary |
Addresses
Primary practice location
515 Central Park Dr
Suite 107
Oklahoma City, OK 73105-1724
Mailing address
PO Box 18783
Oklahoma City, OK 73154-0783
Phone (405) 525-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064520D | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16024 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Associates Inc | Psychiatry | Past | Accepting new patients |
| Pentatwo LLC | Past | Accepting new patients |
Interoperability endpoints
- sdarbe@yourcarecommunity.org
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.
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1205893674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1700950268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18783",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731540783",
"telephone_number": "405-525-2222",
"fax_number": "405-848-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CENTRAL PARK DR",
"address_2": "SUITE 107",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731051724",
"telephone_number": "405-525-2222",
"fax_number": "405-848-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBE",
"first_name": "SHANTHARAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "16024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100064520D",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.