NPIMap

Individual provider Active NPI

Samuel Edward Dakil II, M.D.

  • Urology Physician
  • Norman, OK
National Provider Identifier
1710948831
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
14289 Issued in OK
Practice address
500 E Robinson St
Suite 1300
Norman, OK 73071-6697
Phone
(405) 360-9966
Fax
(405) 360-9905
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 14289 OK Primary

Addresses

Primary practice location

500 E Robinson St
Suite 1300
Norman, OK 73071-6697

Mailing address

500 E Robinson St
Suite 1300
Norman, OK 73071-6697
Phone (405) 360-9966

Other identifiers 2

IdentifierTypeStateIssuer
731303042001OtherOKBLUE CROSS BLUE SHIELD
100124080AMedicaidOK

Other names 1

  • S. Edward Dakil Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000105 OK Practitioner - Urology 2062474828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Urology Associates PCGroup PAC ID 6103888961, 10 clinicians

Practice addresses (Care Compare)

2117 A Riverwalk Dr
Moore, OK 73160-2700
Phone (405) 360-9966

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158
  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14289OKMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Urology Associates PC Current Accepting new patients
Oklahoma Proton Center LLC CurrentSince Jul 30, 2023 Accepting new patients
Norman Urology Associates PC CurrentSince Oct 1, 1985 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656

2117 Riverwalk Dr
#A
Moore, OK 73160
Phone (405) 360-9966

500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966

500 E Robinson St
Ste 300
Norman, OK 73071
Phone (405) 360-1118

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

Organizations & group practices 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1710948831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST",
            "address_2": "SUITE 1300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716697",
            "telephone_number": "405-360-9966",
            "fax_number": "405-360-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST",
            "address_2": "SUITE 1300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716697",
            "telephone_number": "405-360-9966",
            "fax_number": "405-360-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKIL",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "14289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731303042001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "DAKIL",
            "middle_name": "EDWARD",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.