Individual provider Active NPI

Shahida Asif, M.D.

  • Internal Medicine Physician
  • El Reno, OK
National Provider Identifier
1992980544
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101242729 Issued in VA
Practice address
1631 E US Highway 66
El Reno, OK 73036-5769
Phone
(405) 262-7631
Fax
(405) 262-8099
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101242729 VA Primary

Addresses

Primary practice location

1631 E US Highway 66
El Reno, OK 73036-5769

Mailing address

1631-A E. Highway 66
El -Reno, OK 73036-5769
Phone (405) 262-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000531 TX Practitioner - Internal Medicine 0749335412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242729VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Reno Indian Health Center CurrentSince May 2, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1992980544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631-A E. HIGHWAY 66",
            "city": "EL -RENO",
            "state": "OK",
            "postal_code": "730365769",
            "telephone_number": "405-262-7631",
            "fax_number": "405-262-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 E US HIGHWAY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365769",
            "telephone_number": "405-262-7631",
            "fax_number": "405-262-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIF",
        "first_name": "SHAHIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.