NPIMap

Individual provider Active NPI

Kenneth A Seres, M.D.

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1871633404
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
22341 Issued in OK
Practice address
3366 NW Expressway
Suite 380
Oklahoma City, OK 73112-4462
Phone
(405) 702-1300
Fax
(405) 702-1277
NPI assigned
Feb 6, 2007
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 22341 OK Primary

Addresses

Primary practice location

3366 NW Expressway
Suite 380
Oklahoma City, OK 73112-4462

Mailing address

3366 NW Expressway
Suite 380
Oklahoma City, OK 73112-4462

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
I20080819000628 OK Practitioner - Gastroenterology 0840365292 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

3330 NW 56TH
220 Integris Family Care Baptist
Oklahoma City, OK 73112-4418
Phone (405) 713-7422

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

4219 S Western Ave
Integris Southwest Rehabilitation
Oklahoma City, OK 73109-3410
Phone (405) 644-5256

5501 N Portland
Select Specialty Hosp West
Oklahoma City, OK 73112-2074
Phone (405) 951-4016

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy72
Upper gastrointestinal (GI) endoscopy for acid reflux238

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Current Accepting new patients
Integris Bass Baptist Health Center CurrentSince May 1, 2018 Accepting new patients
Integris Ddsi Endoscopy Centers LLC Current Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Integris Bass Baptist Health Center Gastroenterology CurrentSince May 1, 2018 Accepting new patients
Integris Ambulatory Care Corporation Gastroenterology CurrentSince Oct 1, 2023 Accepting new patients
Integris Ddsi Endoscopy Centers LLC CurrentSince Feb 1, 2021 Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

10029 N Oklahoma Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 702-1300

3366 NW Expressway
Ste 380
Oklahoma City, OK 73112
Phone (405) 942-0794

3366 NW Expressway St
Ste 400
Oklahoma City, OK 73112
Phone (405) 702-1300

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4201 S Western Ave
Oklahoma City, OK 73109
Phone (405) 632-4000

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

1205 Health Center Pkwy
Ste 220
Yukon, OK 73099
Phone (405) 717-5490

Organizations & group practices 8

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 8

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1871633404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 380",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 380",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-702-1300",
            "fax_number": "405-702-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERES",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "22341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.