Organization Active NPI

Universal Kidney Care of Oklahoma PLLC

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1710416573
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
26355 Issued in OK
Legal business name
UNIVERSAL KIDNEY CARE OF OKLAHOMA PLLC
Practice address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone
(405) 936-0504
Fax
(405) 936-0561
NPI assigned
Jun 6, 2017
Last updated
Jun 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Ahmad Balil, MD
Title
Owner/Physician
Phone
(405) 417-8573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 26355 OK Primary

Addresses

Primary practice location

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555

Mailing address

1605 NW 176TH St
Edmond, OK 73012-6910
Phone (405) 417-8573

National Provider Directory

National Provider Directory

Locations

6434 NW 39th Expy
Bethany, OK 73008

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1710416573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 NW 176TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126910",
            "telephone_number": "405-417-8573",
            "fax_number": "405-936-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-936-0504",
            "fax_number": "405-936-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL KIDNEY CARE OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "BALIL",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "405-417-8573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "26355",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.