NPIMap

Individual provider Active NPI

Tiffany F Mao, M.D.

  • Cardiovascular Disease Physician
  • Edmond, OK
National Provider Identifier
1891181699
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
33543 Issued in OK
Practice address
4833 Integris Pkwy Ste 325
Edmond, OK 73034-8864
Phone
(405) 657-3658
Fax
(405) 657-3259
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10052918 TX
Cardiovascular Disease Physician 207RC0000X 33543 OK Primary

Addresses

Primary practice location

4833 Integris Pkwy Ste 325
Edmond, OK 73034-8864

Mailing address

4833 Integris Pkwy Ste 325
Edmond, OK 73034-8864
Phone (405) 657-3658

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
I20210630001464 OK Practitioner - Cardiovascular Disease (Cardiology) 1355742198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Kansas City, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

4833 Integris Pkwy
Suite 325
Edmond, OK 73034-8864
Phone (405) 657-3646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33543OKMDCardiovascular Disease Physician
BP10052918TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Integris Cardiovsacular Physicians Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4833 Integris Pkwy
Ste 325
Edmond, OK 73034
Phone (405) 657-3646

3433 NW 56th St
Ste 800
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Ste 700
Oklahoma City, OK 73112

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Ste 580
Oklahoma City, OK 73112
Phone (405) 917-3518

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 760
Oklahoma City, OK 73112
Phone (405) 948-0640

609 Virginia Ave
Ponca City, OK 74601
Phone (580) 767-1300

Interoperability endpoints

  • Direct secure messaging: tmao220041@direct.integrisok.com

Organizations & group practices 3

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 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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1891181699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 INTEGRIS PKWY STE 325",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-657-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 INTEGRIS PKWY STE 325",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-657-3658",
            "fax_number": "405-657-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "TIFFANY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10052918",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "33543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.