Individual provider Active NPI

Ayrin P, Ummer

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1902031347
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27251 Issued in OK
Practice address
1717A S Utica
Tulsa, OK 74104
Phone
(918) 748-7130
Fax
(918) 748-1303
NPI assigned
May 28, 2009
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27251 OK Primary

Addresses

Primary practice location

1717A S Utica
Tulsa, OK 74104

Mailing address

1717A S Utica
Tulsa, OK 74104
Phone (918) 748-7130

Other identifiers 1

IdentifierTypeStateIssuer
200260940BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150203001593 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9638332422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians
Frisco Emergency Medicine Associates PAGroup PAC ID 8921594300, 36 clinicians

Practice addresses (Care Compare)

1100 Allied Dr
Plano, TX 75093-5348
Phone (469) 814-3278

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Legacy Urgent Care, PA CurrentSince Mar 1, 2016 Accepting new patients
Urgent Care of Green Country PLLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

3500 Gaston Ave
Dallas, TX 75246

2801 S Mayhill Rd
Denton, TX 76208
Phone (855) 760-0600

2801 S Mayhill Rd
#B
Denton, TX 76208
Phone (940) 220-0600

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1902031347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717A S UTICA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-748-7130",
            "fax_number": "918-748-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717A S UTICA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-748-7130",
            "fax_number": "918-748-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMMER",
        "first_name": "AYRIN",
        "middle_name": "P,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200260940B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.