OKLAHOMA HEART HOSPITAL, LLC – General Acute Care Hospital, NPI 1083617005

OKLAHOMA HEART HOSPITAL, LLC is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in General Acute Care Hospital. The organization holds a License No. 2354 (OK). The NPI Number for OKLAHOMA HEART HOSPITAL, LLC is 1083617005

Main info

Organization
Name
OKLAHOMA HEART HOSPITAL, LLC
NPI
1083617005
Phone
(405) 608-3200
Address
4050 W MEMORIAL RD
Authorized Official
TRACY ENLOE CFO
Enumeration Date
23 May 2005
Last Update Date
29 June 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for OKLAHOMA HEART HOSPITAL, LLC

  • Oklahoma Heart Hospital - North Campus, 4050, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States

    OKLAHOMA CITY, OK 731208382

    Phone: (405) 608-3200

    Type: Mailing

  • 5200 E I 240 Service Rd

    Oklahoma City, OK 731352607

    Phone: (405) 608-3200

    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: 2015-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

2

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040319001119OHospitalOK2024-02-29
O20150127000456OIntensive Cardiac RehabilitationOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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 73120)

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Reviews

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Frequently asked questions

What is the registry number for OKLAHOMA HEART HOSPITAL, LLC?
The registry entry for OKLAHOMA HEART HOSPITAL, LLC shows NPI 1083617005.
Is OKLAHOMA HEART HOSPITAL, LLC's NPI status active today?
Active status means OKLAHOMA HEART HOSPITAL, LLC's NPI record is not deactivated in the public file.
Which specialty label fits OKLAHOMA HEART HOSPITAL, LLC?
NPPES ties OKLAHOMA HEART HOSPITAL, LLC to General Acute Care Hospital in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to OKLAHOMA HEART HOSPITAL, LLC?
OKLAHOMA HEART HOSPITAL, LLC shows a connection to Oklahoma City, Oklahoma in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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