Individual provider Active NPI

David Dautenhahn, M.D.

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1952386591
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13102 Issued in OK
Practice address
4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-3773
NPI assigned
Dec 7, 2005
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13102 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter Ste 200
Oklahoma City, OK 73132-3385
Phone (405) 608-3800

Other identifiers 1

IdentifierTypeStateIssuer
100111220AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100318000421 OK Practitioner - Anesthesiology 7113968819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Anesthesia, LLCGroup PAC ID 5294055257, 12 clinicians

Practice addresses (Care Compare)

4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13102OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohh Anesthesia, LLC Anesthesiology CurrentSince Apr 1, 2015 Accepting new patients
Oklahoma Anesthesia Consultants Inc Anesthesiology Past Accepting new patients

Locations

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

7800 NW 85th Ter
#200
Oklahoma City, OK 73132

Dept 960507
Oklahoma City, OK 73196

Organizations & group practices 2

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 1

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1952386591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTENHAHN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.