Individual provider Active NPI

Donald P. Maxwell Jr, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1760498695
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21520 Issued in OK
Practice address
12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone
(405) 752-0717
Fax
(405) 752-0711
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21520 OK Primary

Addresses

Primary practice location

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604

Mailing address

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone (405) 752-0717

Other identifiers 1

IdentifierTypeStateIssuer
100106780AMedicaidOK

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
I20050413000528 OK Practitioner - Ophthalmology 2860439940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12448 Saint Andrews Dr
Oklahoma City, OK 73120-8601
Phone (405) 302-3882

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donald P Maxwell Jr MD PLLC Ophthalmology CurrentSince Jan 1, 2005 Accepting new patients
Zephyr Anesthesia, LLC Past Accepting new patients

Locations

12318 Saint Andrews Dr
Oklahoma City, OK 73120
Phone (405) 636-0710

12448 Saint Andrews Dr
Oklahoma City, OK 73120
Phone (405) 302-3882

12412 Saint Andrews Dr
Oklahoma City, OK 73120

8211 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 636-0710

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1760498695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL JR",
        "first_name": "DONALD",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "21520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.