Active NPI
Ankur Mody, MD
- Internal Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23884
- Practice address
- 921 NE 13TH St
Oklahoma City, OK 73104-5007 - Phone
- (405) 270-5122
- Fax
- (405) 290-1623
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23884 | OK | Primary |
Addresses
Primary practice location
921 NE 13TH St
Oklahoma City, OK 73104-5007
Mailing address
921 NE 13TH St
Oklahoma City, OK 73104-5007
Phone (405) 270-5122
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090218000584 | OK | Practitioner - Internal Medicine | 0749345122 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Optimum Pac PLLCOu Health Partners Inc
Practice addresses (Care Compare)
308 NW 153Rd St
Edmond, OK 73013-1173
Phone (405) 376-9544
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
- The Timbers Skilled Nursing and Therapy
- Tuscany Village Nursing Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.58 of 100
- Quality
- 72.72
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 63.63
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23884 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Paradox Inc | Current | Accepting new patients | |
| Optimum Pac PLLC | Internal Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Optimum Post Acute Care PLLC | Internal Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Optimum Care Hospitalist Group PLLC | Internal Medicine | Current | Accepting new patients |
| Ou Medicine Inc. | Past | Accepting new patients | |
| PF Tuscany SNF Ops, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Timberlane Manor, LLC | Past | Accepting new patients |
Locations
1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611
1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100
1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544
3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
Interoperability endpoints
- amody59620@ouhealth.direct-ci.net
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1306396577
Internal Medicine, OK
-
- Clinic/Center
- Oklahoma City, OK
- NPI 1730754888
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1902030570
-
- Skilled Nursing Facility
- Edmond, OK
- NPI 1255425898
Hospital & facility affiliations 3
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861586752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045007",
"telephone_number": "405-270-5122",
"fax_number": "405-290-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045007",
"telephone_number": "405-270-5122",
"fax_number": "405-290-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODY",
"first_name": "ANKUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "23884",
"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 8, 2007; 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.