NPIMap

Organization Active NPI

Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
National Provider Identifier
1730366832
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMMUNITY HOSPITAL LLC
Practice address
3100 SW 89TH Street
Oklahoma City, OK 73159
Phone
(405) 602-8100
Fax
(405) 602-8103
NPI assigned
Jan 31, 2008
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Daniel Newman
Title
Officer / Authorized Official
Phone
(346) 212-0379

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Emergency Medicine Physician 207P00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Diagnostic Radiology Physician 2085R0202X NU
General Practice Physician 208D00000X NU Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

3100 SW 89TH Street
Oklahoma City, OK 73159

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (405) 602-8100

Other practice location 1

3100 SW 89th St
Oklahoma City, OK 73159-7900
Phone (405) 602-8100

Other practice location 2

3100 SW 89th St
Oklahoma City, OK 73159-7900
Phone (405) 602-8100

Other identifiers 2

IdentifierTypeStateIssuer
100746230AMedicaidOK
DE2280OtherOKRAILROAD MEDICARE #

Other names 1

  • Community Hospital Pro Fee Grp Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050527000098 OK Part B Supplier - Clinic/Group Practice 2466494646 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oklahoma City, OK
O20151019000586 TX Part B Supplier - Clinic/Group Practice 2466494646 Receives reassigned benefits from 12 practitioners
Practice locations: Houston, TX; Dallas, TX; Abilene, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Community Hospital

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10001 S Western Ave
Ste 204
Oklahoma City, OK 73139
Phone (405) 427-3752

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

3100 SW 89th St
Ste 100
Oklahoma City, OK 73159
Phone (405) 605-2660

3110 SW 89th St
Ste 100
Oklahoma City, OK 73159
Phone (405) 605-2660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1730366832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "405-602-8100",
            "fax_number": "405-602-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 89TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73159",
            "telephone_number": "405-602-8100",
            "fax_number": "405-602-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597900",
            "country_code": "US",
            "telephone_number": "405-602-8100",
            "fax_number": "405-602-8103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597900",
            "country_code": "US",
            "telephone_number": "405-602-8100",
            "fax_number": "405-602-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL LLC",
        "enumeration_date": "2008-01-31",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "346-212-0379"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746230A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "DE2280",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Hospital Pro Fee Grp",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Community Hospital Pro Fee Grp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.