Active NPI
FM Orthopedics LLC
- Orthopaedic Surgery Physician
- Edmond, OK
National Provider Identifier
1770055337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- FM ORTHOPEDICS LLC
- Practice address
- 17861 Prairie Sky Way
Edmond, OK 73012-6628 - Phone
- (580) 210-0040
- Fax
- (405) 330-9082
- NPI assigned
- Dec 20, 2018
- 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
- Munawar Ali, MD
- Title
- Ceo
- Phone
- (580) 210-0040
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
17861 Prairie Sky Way
Edmond, OK 73012-6628
Mailing address
17861 Prairie Sky Way
Edmond, OK 73012-6628
Phone (580) 210-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200524500A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190125000440 | OK | Part B Supplier - Clinic/Group Practice | 5395082556 |
Receives reassigned benefits from 1 practitioner Practice locations: Edmond, OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1508960030
OK, Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1770055337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17861 PRAIRIE SKY WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730126628",
"telephone_number": "580-210-0040",
"fax_number": "405-330-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17861 PRAIRIE SKY WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730126628",
"telephone_number": "580-210-0040",
"fax_number": "405-330-9082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FM ORTHOPEDICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-20",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "MUNAWAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "580-210-0040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200524500A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.