NPIMap

Individual provider Active NPI

Bommasamudram Ashwini Kumar, M.D.

  • Orthopaedic Surgery Physician
  • Midwest City, OK
National Provider Identifier
1962508424
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25189 Issued in OK
Practice address
215 N Midwest Blvd
Midwest City, OK 73110-4320
Phone
(405) 737-3491
Fax
(405) 737-5956
NPI assigned
Sep 15, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25189 OK
Orthopaedic Surgery Physician 207X00000X 25189 OK Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25189 OK

Addresses

Primary practice location

215 N Midwest Blvd
Midwest City, OK 73110-4320

Mailing address

215 N Midwest Blvd
Midwest City, OK 73110-4320
Phone (405) 737-3491

Other identifiers 1

IdentifierTypeStateIssuer
200096480AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address b.ashwini.kumar.1@4696.direct.athenahealth.com

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
I20070116000569 OK Practitioner - Orthopedic Surgery 9133120272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 610-4411

608 NW 9TH St
Oklahoma City, OK 73102-1049

9020 E Reno Ave
Midwest City, OK 73130-3336
Phone (405) 732-7020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement32
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25189OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Saints Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

9020 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-7020

3700 N Kickapoo Ave
Ste 104
Shawnee, OK 74804
Phone (405) 273-6383

Interoperability endpoints

  • Direct secure messaging: akumar391951@direct-ehr-ssmhc.com
  • Direct secure messaging: b.ashwini.kumar.1@4696.direct.athenahealth.com
  • Direct secure messaging: bakumar@yourcarecommunity.org
  • Direct secure messaging: bommasamudram.kumar.1@17785.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1962508424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MIDWEST BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104320",
            "telephone_number": "405-737-3491",
            "fax_number": "405-737-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MIDWEST BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104320",
            "telephone_number": "405-737-3491",
            "fax_number": "405-737-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "BOMMASAMUDRAM",
        "middle_name": "ASHWINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "25189",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "25189",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "25189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200096480A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "b.ashwini.kumar.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "215 N Midwest Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731104320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.