Active NPI
William Randall Kakish, M.D.
- Gastroenterology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 17088
- Practice address
- 4200 W Memorial Rd
901
Oklahoma City, OK 73120-9350 - Phone
- (405) 749-4247
- Fax
- (405) 749-4249
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 17088 | OK | Primary |
Addresses
Primary practice location
4200 W Memorial Rd
901
Oklahoma City, OK 73120-9350
Mailing address
4200 W Memorial Rd
901
Oklahoma City, OK 73120-9350
Phone (405) 749-4247
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Oklahoma College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4205 McAuley Blvd
Suite 375
Oklahoma City, OK 73120-9309
Phone (405) 751-4343
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 310 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 294 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510
4205 McAuley Blvd
Ste 375
Oklahoma City, OK 73120
Phone (405) 749-4247
4200 W Memorial Rd
Ste 901
Oklahoma City, OK 73120
Phone (405) 242-4030
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
#901
Oklahoma City, OK 73120
Phone (405) 749-4247
5200 E I 240 Service Rd
Ste 330
Oklahoma City, OK 73135
Phone (405) 416-9703
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Interoperability endpoints
- wkakish134622@directc.mercy.net
Organizations & group practices 3
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
- Oklahoma City, OK
- NPI 1386874550
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1841442274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1851300438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-749-4247",
"fax_number": "405-749-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-749-4247",
"fax_number": "405-749-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKISH",
"first_name": "WILLIAM",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "17088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.