Active NPI
Lance Mwangi, MD
- Family Medicine Physician
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44293
- Practice address
- 20 12TH Ave NW
Ardmore, OK 73401-5722 - Phone
- (580) 223-3411
- Fax
- (580) 226-2284
- NPI assigned
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44293 | OK | Primary |
Addresses
Primary practice location
20 12TH Ave NW
Ardmore, OK 73401-5722
Mailing address
1104 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 226-0543
Other practice location 1
1104 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 226-0543
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44293 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Community Clinic, Inc. | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients |
Locations
1104 Walnut Dr
Ardmore, OK 73401
Phone 5802233411308
1116 Walnut Dr
Ardmore, OK 73401
Phone (580) 226-0543
2401 N Commerce St
Ste A
Ardmore, OK 73401
Phone (580) 798-4122
20 12th Ave NW
Ardmore, OK 73401
Phone (580) 223-3411
Interoperability endpoints
- lance.mwangi.1@21725.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Ardmore, OK
- NPI 1285010413
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durant, OK
- NPI 1720480932
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1730765298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012353",
"telephone_number": "580-226-0543",
"fax_number": "580-226-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 12TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734015722",
"telephone_number": "580-223-3411",
"fax_number": "580-226-2284"
}
],
"practiceLocations": [
{
"address_1": "1104 Walnut Dr",
"address_purpose": "LOCATION",
"city": "Ardmore",
"state": "OK",
"postal_code": "734012353",
"country_code": "US",
"telephone_number": "580-226-0543",
"fax_number": "580-226-2284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MWANGI",
"first_name": "LANCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "44293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.