INTEGRIS Medical Group – Family Medicine Physician, NPI 1750333936
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INTEGRIS Medical Group
PO BOX 843754
KANSAS CITY, MO 641843754
Phone: (405) 252-8400
Type: Mailing
3001 QUAIL SPRINGS PKWY
OKLAHOMA CITY, OK 731342640
Phone: (405) 951-2298
Fax: (405) 951-2996
Type: Location
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731269032
Phone: (405) 951-2298
Fax: (405) 951-2996
Type: Mailing
5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
SUITE 280
OKLAHOMA CITY, OK 731125556
Phone: (405) 951-2298
Fax: (405) 951-2996
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (863 days ago).
Enrollment records
12
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041209000354 | O | Clinic/Group Practice | OK | TBD |
| O20131120000819 | O | Clinic/Group Practice | KS | TBD |
| O20131231001112 | O | Clinic/Group Practice | TX | TBD |
| O20140310001414 | O | Clinic/Group Practice | CO | TBD |
| O20140523001187 | O | Clinic/Group Practice | KY | TBD |
| O20140623001195 | O | Clinic/Group Practice | GA | 2024-01-31 |
| O20140724001448 | O | Clinic/Group Practice | MD | TBD |
| O20140916002700 | O | Clinic/Group Practice | FL | TBD |
| O20161212000870 | O | Clinic/Group Practice | UT | TBD |
| O20170908002415 | O | Clinic/Group Practice | NY | TBD |
| O20260205002200 | O | Clinic/Group Practice | DC | TBD |
| O20260205003314 | O | Clinic/Group Practice | PA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64184)
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