Five Oaks Family Medical Clinic – Rural Health Clinic/Center, NPI 1164859260

Five Oaks Family Medical Clinic is a healthcare provider. based in Chickasha, Oklahoma. specializing in Rural Health Clinic/Center. The NPI Number for Five Oaks Family Medical Clinic is 1164859260

Main info

Organization
Name
Five Oaks Family Medical Clinic
NPI
1164859260
Phone
(405) 224-2100
Address
2100 W IOWA AVE
Authorized Official
STEVE PAUTLER CEO
Enumeration Date
3 October 2013
Last Update Date
29 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness90
Years active:12State licenses:0Digital endpoints

Provider Addresses for Five Oaks Family Medical Clinic

  • 2100 W IOWA AVE

    SUITE A

    CHICKASHA, OK 730182736

    Phone: (405) 224-2100

    Fax: (405) 779-2346

    Type: Mailing

  • 2100 W IOWA AVE STE A

    CHICKASHA, OK 730182736

    Phone: (405) 224-2100

    Fax: (405) 779-2346

    Type: Mailing

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: 2015-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

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
O20140317001560ORural Health ClinicOKTBD
O20150520000323OClinic/Group PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 73018)

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Reviews

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Frequently asked questions

What is the standard ID for Five Oaks Family Medical Clinic in the U.S.?
In the U.S., Five Oaks Family Medical Clinic is identified by NPI 1164859260.
Is Five Oaks Family Medical Clinic's NPI status active today?
Active status means Five Oaks Family Medical Clinic's NPI record is not deactivated in the public file.
How should patients interpret Five Oaks Family Medical Clinic's specialty?
The extract shows Rural Health Clinic/Center for Five Oaks Family Medical Clinic. Clinical services aligned with this taxonomy classification.
Is Five Oaks Family Medical Clinic tied to Chickasha, Oklahoma?
If you are local to Chickasha, Oklahoma, Five Oaks Family Medical Clinic may be relevant to your search.
Who maintains Five Oaks Family Medical Clinic's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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