NPIMap

Individual provider Active NPI

Mark Warren Fogle, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1861485328
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13925 Issued in OK
Practice address
1000 N Lee Ave
Suite 4078
Oklahoma City, OK 73102-1036
Phone
(405) 272-6406
Fax
(405) 272-6075
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13925 OK Primary

Addresses

Primary practice location

1000 N Lee Ave
Suite 4078
Oklahoma City, OK 73102-1036

Mailing address

PO Box 268922
Oklahoma City, OK 73126-8922
Phone (405) 231-3857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001440 OK Practitioner - Internal Medicine 2264467448 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-4978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13925OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC Duncan Inc CurrentSince Jan 1, 2009 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Metro Physicians LLC CurrentSince Jul 9, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 29, 2018 Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine CurrentSince Oct 10, 2008 Accepting new patients
Mark 5 Care Group, PLLC Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
SSM Health Care of Oklahoma, Inc. CurrentSince Mar 1, 2012 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Saints Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

1000 N Lee Ave
Ste 4078
Oklahoma City, OK 73102
Phone (405) 272-6406

2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: mfogle36990@direct-ehr-ssmhc.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1861485328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268922",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268922",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "address_2": "SUITE 4078",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-6406",
            "fax_number": "405-272-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "MARK",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "13925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.