Individual provider Active NPI

Ankur Mody, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1861586752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23884 Issued in OK
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLC 10 clinicians
Ou Health Partners Inc 1,167 clinicians

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 Hospital, Oklahoma City, OK, CCN 370093
  • The Timbers Skilled Nursing and Therapy Nursing home, Edmond, OK, CCN 375158
  • Tuscany Village Nursing Center Nursing home, Oklahoma City, OK, CCN 375536

Merit-based Incentive Payment System (MIPS)

Final score
60.58 of 100Reported as group
Quality
72.72
Promoting interoperability
0
Improvement activities
30
Cost
63.63

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
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

LicenseStateTypeSpecialty
23884OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Paradox Inc CurrentSince Jan 23, 2024 Accepting new patients
Optimum Pac PLLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 28, 2024 Accepting new patients
Optimum Post Acute Care PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 28, 2024 Accepting new patients
Optimum Care Hospitalist Group PLLC Internal Medicine CurrentSince Jun 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.