Active NPI
Muhammad Ajmal Khan Panezai, M.D.
- Internal Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30501
- Practice address
- 3300 NW Expressway
Suite 280
Oklahoma City, OK 73112-4418 - Phone
- (405) 713-7403
- Fax
- (405) 713-2794
- NPI assigned
- Sep 12, 2012
- Last updated
- Feb 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30501 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway
Suite 280
Oklahoma City, OK 73112-4418
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, TX, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
940 NE 13TH St
Oklahoma City, OK 73104-5008
Phone (405) 271-6625
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30501 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Physician Associates of Southwest Dallas | Internal Medicine | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
920 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-7498
920 NE 13th St
Ste 3000
Oklahoma City, OK 73104
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
Organizations & group practices 7
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.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Internal Medicine
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
Internal Medicine
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1982954442",
"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": "3300 NW EXPRESSWAY",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-713-7403",
"fax_number": "405-713-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANEZAI",
"first_name": "MUHAMMAD AJMAL",
"middle_name": "KHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "30501",
"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 Feb 8, 2016; 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.