NPIMap

Individual provider Active NPI

Santosh Thomas Prabhu, M.D.

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1780688705
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
14169 Issued in OK
Practice address
3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone
(405) 947-3341
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14169 OK
Interventional Cardiology Physician 207RI0011X 14169 OK Primary

Addresses

Primary practice location

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430

Mailing address

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone (405) 947-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000903 OK Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology) 2860582368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

3433 NW 56TH St
Suite 400
Oklahoma City, OK 73112-4430
Phone (405) 947-3341

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting83
Pacemaker insertion or repair24
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14169OKMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Nov 8, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Canadian Valley Hospital Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

4833 Integris Pkwy
Ste 325
Edmond, OK 73034
Phone (405) 657-3646

4833 Integris Pkwy
Ste 100
Edmond, OK 73034
Phone (405) 657-3800

700 24th Ave NW
Norman, OK 73069
Phone (405) 364-0555

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: sprabhu8957@direct.integrisok.com

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 10

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1780688705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-947-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-947-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "SANTOSH",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "14169",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.