Organization Active NPI

Norman Internal Medicine, P.C.

  • Specialist
  • Norman, OK
National Provider Identifier
1962695213
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21906 Issued in OK
Legal business name
NORMAN INTERNAL MEDICINE, P.C.
Practice address
3101 W Tecumseh Rd Ste 103
Norman, OK 73072-1816
Phone
(405) 573-7800
Fax
(405) 573-7810
NPI assigned
Aug 21, 2007
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Mehran Shahsavari, M.D.
Title
Doctor
Phone
(405) 573-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 21906 OK Primary

Addresses

Primary practice location

3101 W Tecumseh Rd Ste 103
Norman, OK 73072-1816

Mailing address

3101 W Tecumseh Rd Ste 106
Norman, OK 73072-1816
Phone (405) 573-7800

Other identifiers 4

IdentifierTypeStateIssuer
1255361648OtherOKNPI
1962695213OtherOKGROUP NPI
100225100AMedicaidOK
37D0988996OtherOKCLIA

National Provider Directory

National Provider Directory

Locations

900 N Porter Ave
Ste 206
Norman, OK 73071
Phone (405) 573-7800

3101 W Tecumseh Rd
Ste 103
Norman, OK 73072
Phone (405) 310-4949

3101 W Tecumseh Rd
Ste 106
Norman, OK 73072

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDAGBA

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1962695213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W TECUMSEH RD STE 106",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721816",
            "telephone_number": "405-573-7800",
            "fax_number": "405-573-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W TECUMSEH RD STE 103",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721816",
            "telephone_number": "405-573-7800",
            "fax_number": "405-573-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SHAHSAVARI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-573-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "21906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255361648",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962695213",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225100A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D0988996",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.