Individual provider Active NPI

Niranjan Udaychandra Kavadi, MD

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1891003034
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30241 Issued in OK
Practice address
4200 S Douglas Ave Ste 200B
Oklahoma City, OK 73109-3225
Phone
(405) 727-3015
Fax
(405) 727-3020
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30241 OK Primary

Addresses

Primary practice location

4200 S Douglas Ave Ste 200B
Oklahoma City, OK 73109-3225

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 727-3015

Other practice location 1

3433 NW 56th St Ste 900
Oklahoma City, OK 73112-4452
Phone (405) 727-3015

Other identifiers 7

IdentifierTypeStateIssuer
051118798OtherALBCBS
130458MedicaidAL
130460MedicaidAL
051118800OtherALBCBS
06259340MedicaidMS
051118799OtherALBCBS
130456MedicaidAL

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
I20250905004159 OK Practitioner - Orthopedic Surgery 8325216963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2003
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)

2821 N Van Buren St a
Integris Specialty Care of Enid
Enid, OK 73703-1729
Phone (580) 213-9799

2821 N Van Buren St B
Enid, OK 73703-1729

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

4401 S Western
Wound Care Clinic
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4421 S Western Ave
Suite 1030
Oklahoma City, OK 73109-3413
Phone (405) 644-5398

5401 N Portland Ave
Suite 540
Oklahoma City, OK 73112-2092
Phone (405) 727-3015

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
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.3421RALMDOrthopaedic Surgery Physician
L-243595MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Aug 18, 2025 Accepting new patients
Integris Rural Health Inc Past Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

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

4200 S Douglas Ave
Ste 200B
Oklahoma City, OK 73109
Phone (405) 644-5447

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

5401 N Portland Ave
Ste 540
Oklahoma City, OK 73112
Phone (405) 604-4475

Interoperability endpoints

  • Direct secure messaging: nkavadi543023@direct.integrisok.com

Organizations & group practices 5

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 7

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1891003034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-727-3015",
            "fax_number": "405-727-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 200B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093225",
            "telephone_number": "405-727-3015",
            "fax_number": "405-727-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3433 NW 56th St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124452",
            "country_code": "US",
            "telephone_number": "405-727-3015",
            "fax_number": "405-727-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVADI",
        "first_name": "NIRANJAN",
        "middle_name": "UDAYCHANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "30241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051118798",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130458",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130460",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051118800",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06259340",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051118799",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130456",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.