Organization Active NPI

Gi Doc PLLC

  • Gastroenterology Physician
  • Edmond, OK
National Provider Identifier
1942196704
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI DOC PLLC
Practice address
3509 NW 173Rd Cir
Edmond, OK 73012-6765
Phone
(405) 796-8367
Fax
(405) 716-4808
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Waqas H Gillani
Title
Billing Manager
Phone
(405) 796-8367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3509 NW 173Rd Cir
Edmond, OK 73012-6765

Mailing address

3509 NW 173Rd Cir
Edmond, OK 73012-6765
Phone (405) 796-8367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250625004087 OK Part B Supplier - Clinic/Group Practice 0547772378 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1942196704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 NW 173RD CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126765",
            "telephone_number": "405-796-8367",
            "fax_number": "405-716-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 NW 173RD CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126765",
            "telephone_number": "405-796-8367",
            "fax_number": "405-716-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI DOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "GILLANI",
        "authorized_official_first_name": "WAQAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "405-796-8367"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.