Organization Active NPI

Madina Medical Group PC Inc

  • Nephrology Physician
  • Edmond, OK
National Provider Identifier
1710816673
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MADINA MEDICAL GROUP PC INC
Practice address
800 W 18TH St Ste 140
Edmond, OK 73013-3759
Phone
(716) 238-1473
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Talal Ali Khan, M.DNPI 1629303938
Title
Owner
Phone
(716) 238-1473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

800 W 18TH St Ste 140
Edmond, OK 73013-3759

Mailing address

209 NW 151St St
Edmond, OK 73013-1736
Phone (716) 238-1473

National Provider Directory

National Provider Directory

Locations

800 W 18th St
Edmond, OK 73013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1710816673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW 151ST ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131736",
            "telephone_number": "716-238-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133759",
            "telephone_number": "716-238-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADINA MEDICAL GROUP PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TALAL",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-238-1473",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.