Individual provider Active NPI

Satheesh Kumar Shetty, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1871581488
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18820 Issued in OK
Practice address
3048 SW 89TH St
Ste- a
Oklahoma City, OK 73159-6385
Phone
(405) 834-4274
Fax
(405) 748-4694
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 18820 OK Primary

Addresses

Primary practice location

3048 SW 89TH St
Ste- a
Oklahoma City, OK 73159-6385

Mailing address

PO Box 21891
Oklahoma City, OK 73156-1891
Phone (405) 834-4274

Other identifiers 3

IdentifierTypeStateIssuer
100183140AMedicaidOK
175507600OtherOKDEPT OF LABOR
5043442OtherOKAETNA

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
I20080408000222 OK Practitioner - Anesthesiology 2163509605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpi Physicians LLCGroup PAC ID 6406048289, 48 clinicians

Practice addresses (Care Compare)

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 242-2713

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18820OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hpi Physicians LLC CurrentSince Dec 31, 2020 Accepting new patients
Advanced Perioperative Services PC Anesthesiology PastSince Oct 1, 2006 Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

Organizations & group practices 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1871581488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21891",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731561891",
            "telephone_number": "405-834-4274",
            "fax_number": "405-748-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 SW 89TH ST",
            "address_2": "STE- A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596385",
            "telephone_number": "405-834-4274",
            "fax_number": "405-748-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SATHEESH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "18820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100183140A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "175507600",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5043442",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.