Individual provider Active NPI

Joel Sabangan, MD

  • Pulmonary Disease Physician
  • Ardmore, OK
National Provider Identifier
1871520908
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
21321 Issued in OK
Practice address
1514 Meadow LN
Ardmore, OK 73401-1822
Phone
(580) 223-5919
Fax
(580) 220-2810
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 21321 OK Primary

Addresses

Primary practice location

1514 Meadow LN
Ardmore, OK 73401-1822

Mailing address

1514 Meadow LN
Ardmore, OK 73401-1822
Phone (580) 223-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031216000819 OK Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 6002713237 Reassigns benefits to 4 organizations
I20220728001662 CA Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Sleep Medicine 6002713237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians
Mercy Hospital Ada IncGroup PAC ID 7416197066, 3 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132

13313 N Meridian Ave C
Mercy Clinic
Oklahoma City, OK 73120-8316
Phone (405) 254-9676

13313 N Meridian Ave D
Mercy Clinic
Oklahoma City, OK 73120-8316
Phone (405) 254-9690

3101 Arlington St
Ada, OK 74820-3085

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

731 12TH Ave NW
Suite 100
Ardmore, OK 73401-5762
Phone (580) 223-3216

731 12TH Nwave
100 Mercy Clinic
Ardmore, OK 73401-5762
Phone (580) 223-3216

Hospital & facility affiliations

  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • Mercy Hospital Healdton, Inc. Hospital, Healdton, OK, CCN 371310
  • Mercy Hospital Tishomingo Inc Hospital, Tishomingo, OK, CCN 371304
  • Chickasaw Nation Medical Center Hospital, Ada, OK, CCN 370180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Ada, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Newstart Medical Group Inc CurrentSince May 17, 2022 Accepting new patients
Mercy Hospital Ada, Inc CurrentSince Jan 3, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 15, 2015 Accepting new patients
Mercy Hospital Tishomingo, Inc Current Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince Jan 17, 2023 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Rha Tishomingo LLC PastSince Jun 12, 2019 Accepting new patients

Locations

20601 Paoli Ln
Colfax, CA 95713
Phone (530) 637-4025

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

520 N Monte Vista St
Ste C
Ada, OK 74820
Phone (580) 272-0018

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

Interoperability endpoints

  • Direct secure messaging: jsabanganmd@pulmedclinic.gwaydirect.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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1871520908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 MEADOW LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011822",
            "telephone_number": "580-223-5919",
            "fax_number": "580-220-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 MEADOW LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011822",
            "telephone_number": "580-223-5919",
            "fax_number": "580-220-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABANGAN",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "21321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.