Scott Shadfar, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

31708 Issued in OK

Practice address

9433 N Kelley Ave
Oklahoma City, OK 73131-2415

Phone

(405) 871-5757

Fax

(405) 242-0031

NPI assigned

Jun 18, 2008

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Otolaryngology

Education

University of Oklahoma College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
• Onecore Health Hospital, Oklahoma City, OK, CCN 370220

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drshadfar@drshadfar.emadirect.md

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.

• Aesthetic Institute of Oklahoma PLLC

  dba Shadfar Facial Plastic Surgery

  • Facial Plastic Surgery Physician
  • Edmond, OK
  • NPI 1972487254
  Medicare reassignment NPD Authorized official
• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment Care Compare group NPD
• Shadfar Facial Plastic Surgery LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Edmond, OK
  • NPI 1396636031
  NPD Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital for Special Surgery L L C

  dba OneCore Health

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1851344188
  Care Compare affiliation
• Integris Health Edmond, Inc

  dba INTEGRIS Health Edmond Hospital

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  Care Compare affiliation

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1710148283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 N KELLEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312415",
            "telephone_number": "405-871-5757",
            "fax_number": "405-242-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 N KELLEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312415",
            "telephone_number": "405-871-5757",
            "fax_number": "405-242-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADFAR",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OK",
            "license": "31708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Shaban, MD
• Shabbir Ahmed Chaudhry Inc
• Deanna Shackelford, LCSW
• Michael Shackelford, R.N.,BSN
• Zohra Shad, MD
• Shadid Plastic Surgery Associates
• Anna Leigh Shadid, MD
• Betsy Ann Shadid, M.D.
• Christopher Charles Shadid, M.D.
• David Brian Shadid, DDS MSD

• Facial Plastic Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Facial Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.