NPIMap

Individual provider Active NPI

Mazen S Abu-Fadel, M.D.

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1992714851
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
21994 Issued in OK
Practice address
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 972-7512
NPI assigned
Aug 7, 2006
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21994 OK
Interventional Cardiology Physician 207RI0011X 21994 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other practice location 1

1146 N Hills Ctr
Ada, OK 74820-1881
Phone (580) 332-1080

Other practice location 2

5224 E I 240 Service Rd Ste 100
Oklahoma City, OK 73135-2607
Phone (405) 608-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mabu-fadel@direct.okheart.com Direct

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
I20040517000017 OK Practitioner - Interventional CardiologyPractitioner - Other (Physician)Practitioner - Emergency MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981694437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Emergency Medicine, Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting127
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21994OKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince Aug 15, 2019 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Jan 24, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 Accepting new patients
Seminole Health Center LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080

2201 W Iowa Ave
Ste 2
Chickasha, OK 73018
Phone (405) 222-2844

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

5224 E I 240 Service Rd
Ste 100
Oklahoma City, OK 73135
Phone (405) 628-6000

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

Interoperability endpoints

  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • Direct secure messaging: mabu-fadel@direct.okheart.com
  • Direct secure messaging: mabufadel22642@direct.okheart.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oklahoma Heart HospitalOklahoma City, OK, CCN 370215 Hospital Corporate Director Apr 24, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1992714851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-972-7512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1146 N Hills Ctr",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748201881",
            "country_code": "US",
            "telephone_number": "580-332-1080",
            "fax_number": "580-332-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5224 E I 240 Service Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731352607",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "fax_number": "405-972-7512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABU-FADEL",
        "first_name": "MAZEN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "21994",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "21994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mabu-fadel@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.