Iftikhar A Sandhu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1021 Issued in OK

Practice address

2212 N Broadway St
Moore, OK 73160-4303

Phone

(405) 285-7222

Fax

(405) 285-7227

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Superior Family Care, LLCGroup PAC ID 8527508951, 2 clinicians

Quick Urgent Care LLCGroup PAC ID 4486937505, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Quick Urgent Care LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1467995589
  Medicare reassignment Care Compare group Authorized official
• Superior Family Care, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1720846835
  Medicare reassignment Care Compare group Authorized official
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment
• Midwest Hospital Medicine Associates PC

  • Hospitalist Physician
  • Grove, OK
  • NPI 1124388855
  Medicare reassignment
• Classen Urgent Care Clinic LLC

  • Urgent Care Clinic/Center
  • Norman, OK
  • NPI 1427337518
  NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1730115577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604303",
            "telephone_number": "405-285-7222",
            "fax_number": "405-285-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604303",
            "telephone_number": "405-285-7222",
            "fax_number": "405-285-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 NW 122ND ST",
            "address_purpose": "LOCATION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148028",
            "country_code": "US",
            "telephone_number": "405-286-2888",
            "fax_number": "405-286-1695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 NW 122ND ST",
            "address_purpose": "LOCATION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148028",
            "country_code": "US",
            "telephone_number": "405-849-6000",
            "fax_number": "405-849-5975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "IFTIKHAR",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1021",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224630A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12163067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Moore, OK
• Providers in Moore, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.