Individual provider Active NPI

Samir Patel, FNP

  • Family Nurse Practitioner
  • Newcastle, OK
National Provider Identifier
1740732544
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
94638 Issued in OK
Practice address
300 NW 32ND St
Newcastle, OK 73065-6300
Phone
(405) 387-4546
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 94638 OK Primary

Addresses

Primary practice location

300 NW 32ND St
Newcastle, OK 73065-6300

Mailing address

300 NW 32ND St
Newcastle, OK 73065-6300
Phone (405) 387-4546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214002600 OK Practitioner - Nurse Practitioner 7810270030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

11808 S May Ave
Oklahoma City, OK 73170-2560
Phone (405) 735-2370

1664 S Choctaw Rd
Suite 101
Choctaw, OK 73020-6767
Phone (405) 281-2144

3400 W Tecumseh Rd
Suite 100
Norman, OK 73072-1810
Phone (405) 307-6900

5700 SE 74TH St
Suite 100
Oklahoma City, OK 73135-1087
Phone (405) 600-6869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
94638OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care of Oklahoma LLC Current Accepting new patients
Immediate Care of Oklahoma, LLC CurrentSince Aug 1, 2024 Accepting new patients
Advance Physicians Group CurrentSince Nov 1, 2017 Accepting new patients
Immediate Care of Oklahoma CurrentSince Aug 1, 2024 Accepting new patients
Aimee Walker Ms LPC PLLC PastSince Mar 31, 2024 Accepting new patients

Locations

1221 N Kelly Ave
Edmond, OK 73003
Phone (405) 285-8799

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1740732544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 32ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656300",
            "telephone_number": "405-387-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 32ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656300",
            "telephone_number": "405-387-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "94638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, OK

Sources for this page

Verify at the official NPI Registry.