Active NPI
Shiedeh Khodadadian, D.O.
- Hospitalist Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 5669
- Practice address
- 4401 S Western Ave
Oklahoma City, OK 73109-3413 - Phone
- (405) 713-7403
- Fax
- (405) 713-2794
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5669 | OK | |
| Hospitalist Physician | 208M00000X | 5669 | OK | Primary |
Addresses
Primary practice location
4401 S Western Ave
Oklahoma City, OK 73109-3413
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 713-7403
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- West Virginia School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- Choice Health at Home - Western Oklahoma Hospice
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospital Medicine Associates PC | Hospitalist | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Internal Medicine | Current | Accepting new patients |
| Ou Medicine Inc. | Past | Accepting new patients | |
| Integris Canadian Valley Hospital | Past | Accepting new patients |
Locations
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Interoperability endpoints
- skhodadadian66382@direct.integrisok.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Internal Medicine
-
- Hospitalist Physician
- Grove, OK
- NPI 1124388855
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Yukon, OK
- NPI 1306865357
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Norman, OK
- NPI 1225213820
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1972882934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-713-7403",
"fax_number": "405-713-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "405-713-7403",
"fax_number": "405-713-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHODADADIAN",
"first_name": "SHIEDEH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "5669",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "5669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.