Individual provider Active NPI

Jose D Clay-Flores, MD

  • Pediatrics Physician
  • Oklahoma City, OK
National Provider Identifier
1851302574
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39095 Issued in OK
Practice address
2921 SW 89TH St
Oklahoma City, OK 73159-6332
Phone
(405) 730-6990
Fax
(405) 730-6992
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L4307 TX
Pediatrics Physician 208000000X 39095 OK Primary

Addresses

Primary practice location

2921 SW 89TH St
Oklahoma City, OK 73159-6332

Mailing address

2921 SW 89TH St Ste 412
Oklahoma City, OK 73159-6332
Phone (405) 730-6990

Other practice location 1

14100 San Pedro Ave Ste 412
San Antonio, TX 78232-4361
Phone (210) 281-8669

Other practice location 2

10839 Quarry Park
San Antonio, TX 78233-4681
Phone (210) 888-7427

Other identifiers 4

IdentifierTypeStateIssuer
8R6761OtherTXBLUE CROSS BLUE SHIELD
160504423727OtherTXHUMANA INSURANCE
2377690OtherTXUNITED HEALTHCARE INS
L4307OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200508002884 TX Practitioner - Pediatric Medicine 7214367986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39095OKMDPediatrics Physician
L4307TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flash Neurodiversity Consulting and Diagnostics PC Pediatrics Current Accepting new patients
Professionals Associated for Children'S Benefit Pediatrics CurrentSince Feb 27, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
Aky MD, LLC Pediatrics Past Accepting new patients

Locations

1402 Brookview Dr
Ardmore, OK 73401
Phone (580) 226-9390

10839 Quarry Park
San Antonio, TX 78233
Phone (210) 257-6260

Interoperability endpoints

  • Direct secure messaging: jclayflores@jkp.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1851302574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 SW 89TH ST STE 412",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596332",
            "telephone_number": "405-730-6990",
            "fax_number": "405-730-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596332",
            "telephone_number": "405-730-6990",
            "fax_number": "405-730-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 San Pedro Ave Ste 412",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782324361",
            "country_code": "US",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10839 Quarry Park",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782334681",
            "country_code": "US",
            "telephone_number": "210-888-7427",
            "fax_number": "210-451-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY-FLORES",
        "first_name": "JOSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4307",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "39095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8R6761",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "160504423727",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INS",
            "identifier": "2377690",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L4307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.