Individual provider Active NPI

Manuel Carl Limbaugh, MD

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1831164458
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16102 Issued in OK
Practice address
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone
(405) 341-8829
Fax
(405) 315-1152
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16102 OK Primary

Addresses

Primary practice location

1616 S Kelly Ave
Edmond, OK 73013-3651

Mailing address

14024 Quail Pointe Dr.
Oklahoma City, OK 73134
Phone (405) 419-8447

Other names 1

  • M. Carl Limbaugh Other name

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
I20090508000352 OK Practitioner - Family Practice 2769587195 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hpi Physicians LLC Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Deborah S Blalock Past Accepting new patients

Locations

1616 S Kelly Ave
Edmond, OK 73013
Phone (405) 330-0015

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1831164458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-419-8447",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133651",
            "telephone_number": "405-341-8829",
            "fax_number": "405-315-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMBAUGH",
        "first_name": "MANUEL",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "16102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "LIMBAUGH",
            "middle_name": "CARL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.