Manuel Maldonado-Vital, MD
Individual provider Active NPI Blood Banking & Transfusion Medicine Physician · Oklahoma City, KS
NPI 1982197521 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1982197521
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Blood Banking & Transfusion Medicine Physician 207ZB0001X
- License
- 33832 (OK)
- Practice address
- 940 Stanton L Young Blvd
BMSB 451
Oklahoma City, KS 73104 - Phone
- (405) 271-2451
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Kansas Medical College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ou Health Partners Inc
Practice addresses (Care Compare)
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219002308 | OK | Practitioner - Pathology | 1658715503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Multi-Specialty | Current |
Accepting new patients |
| Ou Health Partners, Inc | Current |
Accepting new patients |
Locations
940 Stanton L Young Blvd
#451
Oklahoma City, OK 73104
Phone (405) 271-2422
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician |
207ZB0001X | 33832 | OK | Yes |
Addresses
Primary practice location
940 Stanton L Young Blvd
BMSB 451
Oklahoma City, KS 73104
Mailing address
940 Stanton L Young Blvd
BMSB 451
Oklahoma City, KS 73104
Phone (405) 271-2451
Other names
- Manuel Maldonado
Other providers in Oklahoma City, KS
All providers in Oklahoma City, KS · Blood Banking & Transfusion Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.