Individual provider Active NPI

Michael Kenneth Crawford, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1780689307
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14749 Issued in OK
Practice address
13321 N Meridian Ave
Ste 210
Oklahoma City, OK 73120-8356
Phone
(405) 748-4343
Fax
(405) 748-5040
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14749 OK Primary

Addresses

Primary practice location

13321 N Meridian Ave
Ste 210
Oklahoma City, OK 73120-8356

Mailing address

13321 N Meridian Ave
Ste 210
Oklahoma City, OK 73120-8356
Phone (405) 748-4343

Other identifiers 2

IdentifierTypeStateIssuer
5078297OtherOKAETNA
671856OtherOKFIRST HEALTH

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
I20070726000674 OK Practitioner - Internal Medicine 1254432867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13321 N Meridian Ave
Suite 210
Oklahoma City, OK 73120-8356
Phone (405) 748-4343

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14749OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Crawford PC Internal Medicine CurrentSince Aug 16, 2001 Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Health Network Inc Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13321 N Meridian Ave
Ste 210
Oklahoma City, OK 73120
Phone (405) 748-4343

Organizations & group practices 4

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1780689307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13321 N MERIDIAN AVE",
            "address_2": "STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208356",
            "telephone_number": "405-748-4343",
            "fax_number": "405-748-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13321 N MERIDIAN AVE",
            "address_2": "STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208356",
            "telephone_number": "405-748-4343",
            "fax_number": "405-748-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "14749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5078297",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "671856",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.