Individual provider Active NPI

Amanda Titus, MD

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1750675971
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
28509 Issued in OK
Practice address
4140 W Memorial Rd
Suite 518
Oklahoma City, OK 73120-8366
Phone
(405) 752-3720
Fax
(405) 752-3721
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 28509 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 518
Oklahoma City, OK 73120-8366

Mailing address

4140 W Memorial Rd
Suite 518
Oklahoma City, OK 73120-8366
Phone (405) 752-3720

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722000162 OK Practitioner - Rheumatology 7911208871 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Health Services LLCGroup PAC ID 7214314111, 15 clinicians

Practice addresses (Care Compare)

6516 N Olie Ave
Suite G
Oklahoma City, OK 73116-7399
Phone (405) 608-8060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28509OKMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 15, 2016 Accepting new patients
The Physicians Group LLC CurrentSince Apr 29, 2021 Accepting new patients
Heritage Health Services LLC Rheumatology CurrentSince Apr 1, 2022 Accepting new patients
Saints Medical Group, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060

7336 N Classen Blvd
Ste 100
Oklahoma City, OK 73116
Phone (405) 608-8060

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

501 SW 149th St
Ste A
Oklahoma City, OK 73170

4400 Grant Blvd
Ste 103
Yukon, OK 73099
Phone (405) 467-5340

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 2

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1750675971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 518",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-752-3720",
            "fax_number": "405-752-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 518",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-752-3720",
            "fax_number": "405-752-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "28509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.