Individual provider Active NPI

Geetha Bhavani Kandimala, MD

  • Clinical Neurophysiology Physician
  • Norman, OK
National Provider Identifier
1922200435
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
26013 Issued in OK
Practice address
2821 36TH Ave NW Ste 200
Norman, OK 73072-2477
Phone
(405) 307-5700
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26013 OK
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 26013 OK
Clinical Neurophysiology Physician 2084N0600X 26013 OK Primary

Addresses

Primary practice location

2821 36TH Ave NW Ste 200
Norman, OK 73072-2477

Mailing address

2709 Warwick PL
Edmond, OK 73013-6553
Phone (580) 919-5361

Other identifiers 2

IdentifierTypeStateIssuer
BP1-0017760OtherINSTITUTIONAL PERMIT
200199360AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MT, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080819000361 OK Practitioner - NeurologyPractitioner - NeuropsychiatryPractitioner - Sleep Medicine 1456426980 Reassigns benefits to 1 organization
I20241212003493 MT Practitioner - NeurologyPractitioner - Sleep Medicine 1456426980 Reassigns benefits to 1 organization
I20260408000205 TN Practitioner - Neurology 1456426980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Sleep Disorders Center IncGroup PAC ID 6709784606, 4 clinicians
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

1917 4TH St S
Suite 101
Great Falls, MT 59405-4116
Phone (406) 453-7570

700 S Telephone Rd
301 Neuro Assoc of Moore
Moore, OK 73160-2547
Phone (405) 307-5701

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Southwestern Medical Center Hospital, Lawton, OK, CCN 370097

Merit-based Incentive Payment System (MIPS)

Final score
21.22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.72

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Sleep Disorders Center Inc CurrentSince Sep 1, 2020 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Sep 1, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Norman Neuroscience Physicians Neurology Past Accepting new patients
Southwestern Surgical Affiliates, LLC PastSince Mar 1, 2010 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

580 Pronghorn Trl
Ste A
Bozeman, MT 59718
Phone (406) 999-7570

1917 4th St S
Great Falls, MT 59405
Phone (406) 268-9900

1917 4th St S
Ste 101
Great Falls, MT 59405
Phone (406) 453-7570

700 S Telephone Rd
Ste 301
Moore, OK 73160
Phone (405) 307-5701

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

2821 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 515-2049

3400 W Tecumseh Rd
Ste 300
Norman, OK 73072
Phone (405) 307-5700

2821 36th Ave NW
Ste 201
Norman, OK 73072

Interoperability endpoints

  • Direct secure messaging: geetha.kandimala@nrh.eclinicaldirectplus.com
  • Direct secure messaging: gkandimala278567@direct.llu.edu
  • Direct secure messaging: gkandimala549399@direct.umm.edu
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1922200435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 WARWICK PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136553",
            "telephone_number": "580-919-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 36TH AVE NW STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722477",
            "telephone_number": "405-307-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDIMALA",
        "first_name": "GEETHA",
        "middle_name": "BHAVANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "26013",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OK",
            "license": "26013",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OK",
            "license": "26013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0017760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.