NPIMap

Organization Active NPI

Rheumatic Diseases Clinic of Oklahoma, PLLC

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1942691175
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22765 Issued in OK
Legal business name
RHEUMATIC DISEASES CLINIC OF OKLAHOMA, PLLC
Practice address
1015 N Shartel Ave
Oklahoma City, OK 73102-1021
Phone
(405) 606-8070
Fax
(405) 606-6350
NPI assigned
Feb 10, 2015
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mrs. Ronda Kay Berens
Title
Administrator
Phone
(405) 323-7134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22765 OK Primary

Addresses

Primary practice location

1015 N Shartel Ave
Oklahoma City, OK 73102-1021

Mailing address

PO Box 2237
Oklahoma City, OK 73101-2237
Phone (405) 606-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615001561 OK Part B Supplier - Clinic/Group Practice 9931410156 Receives reassigned benefits from 11 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1942691175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2237",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731012237",
            "telephone_number": "405-606-8070",
            "fax_number": "405-606-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N SHARTEL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021021",
            "telephone_number": "405-606-8070",
            "fax_number": "405-606-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATIC DISEASES CLINIC OF OKLAHOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-323-7134",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "22765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.