Active NPI
Sara Oldham, D.O.
- Family Medicine Physician
- Durant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5788
- Practice address
- 1600 W University Blvd
Durant, OK 74701-3094 - Phone
- (580) 924-5500
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 5788 | OK | |
| Family Medicine Physician | 207Q00000X | 5788 | OK | Primary |
Addresses
Primary practice location
1600 W University Blvd
Durant, OK 74701-3094
Mailing address
1600 W University Blvd
Durant, OK 74701-3094
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915001531 | OK | Practitioner - Family Practice | 0042527657 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Physician Associates LLC
Practice addresses (Care Compare)
305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100
Hospital & facility affiliations
- St Marys Regional Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.44 of 100
- Quality
- 85.31
- Improvement activities
- 40
- Cost
- 80.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5788 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Physician Associates, LLC | Current | Accepting new patients | |
| St. Mary'S Physician Associates, LLC | Family Medicine | Current | Accepting new patients |
| Oklahoma Emergency Physician Partners PLLC | Current | Accepting new patients | |
| Hospital Care Consultants Region II Inc | Current | Accepting new patients | |
| Uhs of Oklahoma, LLC | Past | Accepting new patients |
Locations
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Enid, OK
- NPI 1740302751
Family Medicine, OK
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
OK
-
- Durable Medical Equipment & Medical Supplies
- Enid, OK
- NPI 1568270882
-
- Durable Medical Equipment & Medical Supplies
- Enid, OK
- NPI 1740603265
-
- Emergency Medicine Physician
- Durant, OK
- NPI 1891039764
-
- Rehabilitation Hospital Unit
- Enid, OK
- NPI 1659361475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Enid, OK
- NPI 1659361475
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1821473745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013094",
"telephone_number": "580-924-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDHAM",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "5788",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.