NPIMap

Individual provider Active NPI

Amarilys Fernandez-Maldonado, MD

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1952895906
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
43721 Issued in OK
Practice address
3366 NW Expressway Ste 400
Oklahoma City, OK 73112-4416
Phone
(405) 702-1300
NPI assigned
Jun 21, 2018
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018017679 MO
Gastroenterology Physician 207RG0100X 43721 OK Primary

Addresses

Primary practice location

3366 NW Expressway Ste 400
Oklahoma City, OK 73112-4416

Mailing address

701 Cedar Lake Blvd Ste 300
Oklahoma City, OK 73114-7820
Phone (405) 767-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827001690 OK Practitioner - Internal Medicine 6305385956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Disease Specialists IncGroup PAC ID 7315939279, 18 clinicians

Practice addresses (Care Compare)

10029 N Oklahoma Ave
Suite 200
Oklahoma City, OK 73114-7454
Phone (405) 702-1300

110 NW 31St St
FL 2
Lawton, OK 73505-6100
Phone (580) 357-3671

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018017679MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare Corporation CurrentSince Oct 1, 2024 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Digestive Disease Specialists Inc CurrentSince Aug 1, 2024 Accepting new patients
Integris Bass Baptist Health Center Current Accepting new patients
Integris Bass Baptist Health Center CurrentSince Jan 3, 2025 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Oct 1, 2024 Accepting new patients
Digestive Disease Specialists Inc Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Integris Bass Baptist Health Center Gastroenterology CurrentSince Jan 3, 2025 Accepting new patients

Locations

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

110 NW 31st St
Fl 2
Lawton, OK 73505
Phone (580) 357-3671

3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

10029 N Oklahoma Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 702-1300

3366 NW Expressway St
Ste 400
Oklahoma City, OK 73112
Phone (405) 702-1300

Interoperability endpoints

  • Direct secure messaging: afernandez488423@direct.integrisok.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1334
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10062222
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJECBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1952895906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CEDAR LAKE BLVD STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147820",
            "telephone_number": "405-767-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124416",
            "telephone_number": "405-702-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-MALDONADO",
        "first_name": "AMARILYS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018017679",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "43721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.