Active NPI
Koichi Nomoto, M.D.
- Critical Care Medicine (Anesthesiology) Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 43864
- Practice address
- 920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- NPI assigned
- Jun 17, 2008
- Last updated
- Feb 5, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 003454 | NY | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 003454 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 003454 | NY | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 43864 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036
Mailing address
PO Box 26901
Oklahoma City, OK 73126-0901
Other practice location 1
1 Gustave L Levy Pl
Anesthesiology - Box 1010
New York, NY 10029-6500
Phone (800) 627-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Anesthesiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1190 5th Ave
#2W
New York, NY 10029
Phone (212) 241-5646
150 E 42nd St
New York, NY 10017
Phone (212) 661-8139
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
dba Cardiothoracic Surgery of Mount Sinai
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New York, NY
- NPI 1750626560
-
dba Surgery Department of Mount Sinai School of Medicine
- Surgery Physician
- New York, NY
- NPI 1770823551
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
dba Critical Care Department of Mount Sinai
- Critical Care Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1215488127
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1881854404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260901",
"fax_number": "412-937-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE 1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4351"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl",
"address_2": "Anesthesiology - Box 1010",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296500",
"country_code": "US",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOMOTO",
"first_name": "KOICHI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "003454",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NY",
"license": "003454",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "003454",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "OK",
"license": "43864",
"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 Feb 5, 2025; 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.