Individual provider Active NPI

Amer Badreden Nouh, M.D.,

  • Interventional Pain Medicine Physician
  • Edmond, OK
National Provider Identifier
1952587503
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
27605 Issued in OK
Practice address
1417 NW 150TH St
Edmond, OK 73013-1305
Phone
(405) 418-4014
Fax
(405) 418-4136
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD433272 PA
Neurology Physician 2084N0400X R-8249 IA
Pain Medicine Physician 208VP0000X 27605 OK
Interventional Pain Medicine Physician 208VP0014X 27605 OK Primary

Addresses

Primary practice location

1417 NW 150TH St
Edmond, OK 73013-1305

Mailing address

1417 NW 150TH St
Edmond, OK 73013-1305
Phone (405) 418-4041

Other identifiers 1

IdentifierTypeStateIssuer
200312230AMedicaidOK

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
I20101119000126 OK Practitioner - NeurologyPractitioner - AnesthesiologyPractitioner - Pain Management 3577759315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1417 NW 150TH St
Neuro Pain Care
Edmond, OK 73013-1305
Phone (405) 418-4041

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as individual
Quality
60.21
Improvement activities
40
Cost
76.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-8249IAMDNeurology Physician
MD433272PAMDNeurology Physician
27605OKMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amer B Nouh MD PLLC CurrentSince Oct 10, 2010 Accepting new patients
Jackson County Memorial Hospital Authority Interventional Pain Medicine Past Accepting new patients
Summit Medical Center Interventional Pain Medicine Past Accepting new patients

Locations

1417 NW 150th St
Edmond, OK 73013
Phone (405) 418-4014

Interoperability endpoints

  • Direct secure messaging: amernouh@pnfmc.allscriptsdirect.net
  • Direct secure messaging: amer.nouh.1@14547.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14547/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1952587503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NW 150TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131305",
            "telephone_number": "405-418-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NW 150TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131305",
            "telephone_number": "405-418-4014",
            "fax_number": "405-418-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUH",
        "first_name": "AMER",
        "middle_name": "BADREDEN",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD433272",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "R-8249",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "27605",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "27605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200312230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.