Active NPI
Optimum Primary Care PLLC
- Internal Medicine Physician
- Edmond, OK
National Provider Identifier
1760030399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OPTIMUM PRIMARY CARE PLLC
- Practice address
- 1501 E 19TH St
Edmond, OK 73013-6618 - Phone
- (405) 471-6511
- NPI assigned
- Aug 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muhammad Sanaullah, MD
- Title
- Ceo
- Phone
- (405) 367-6180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
1501 E 19TH St
Edmond, OK 73013-6618
Mailing address
1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 367-6180
Other names 1
- Optimum Care Partners
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200604001174 | OK | Part B Supplier - Clinic/Group Practice | 2264853928 |
Receives reassigned benefits from 56 practitioners Practice locations: Edmond, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2216090 | Optimum Primary Care, PLLC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
105 S Bryant Ave
Ste 108
Edmond, OK 73034
Phone (405) 359-9669
2424 NW 178th St
Edmond, OK 73012
Practitioners 57
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Oklahoma City, OK
- NPI 1881474864
OK
-
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
- NPI 1992380158
OK, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1760030399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E 19TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136618",
"telephone_number": "405-367-6180",
"fax_number": "405-359-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 19TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136618",
"telephone_number": "405-471-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "SANAULLAH",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-367-6180",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimum Care Partners",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.