NPIMap

Organization Active NPI

Oklahoma Medical Research Foundation

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1851561625
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
OKLAHOMA MEDICAL RESEARCH FOUNDATION
Practice address
825 NE 13TH St
Oklahoma City, OK 73104-5005
Phone
(405) 271-7410
Fax
(405) 271-8797
NPI assigned
Mar 7, 2008
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Timothy Hassen
Title
VP and Cfo
Phone
(405) 271-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

825 NE 13TH St
Oklahoma City, OK 73104-5005

Mailing address

PO Box 248810
Oklahoma City, OK 73124-8810
Phone (405) 271-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000069 OK Part B Supplier - Clinic/Group Practice 7911055322 Receives reassigned benefits from 12 practitioners
Practice locations: Oklahoma City, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1851561625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248810",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248810",
            "telephone_number": "405-271-7410",
            "fax_number": "405-271-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045005",
            "telephone_number": "405-271-7410",
            "fax_number": "405-271-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA MEDICAL RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "HASSEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP AND CFO",
        "authorized_official_telephone_number": "405-271-7410"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.