SANTA FE CLINIC OF EDMOND – Urgent Care Clinic/Center, NPI 1316127913

SANTA FE CLINIC OF EDMOND is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Urgent Care Clinic/Center. The NPI Number for SANTA FE CLINIC OF EDMOND is 1316127913

Main info

Organization
Name
SANTA FE CLINIC OF EDMOND
NPI
1316127913
Phone
(405) 513-7070
Address
PO BOX 99112
Authorized Official
DATHAN D JAY PRESIDENT MD
Enumeration Date
12 November 2007
Last Update Date
29 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for SANTA FE CLINIC OF EDMOND

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731990001

    Phone: (405) 513-7070

    Fax: (405) 513-7071

    Type: Mailing

  • 523, South Santa Fe Avenue, Edmond, Oklahoma County, Oklahoma, 73003, United States

    EDMOND, OK 730036226

    Phone: (405) 513-7070

    Fax: (405) 513-7071

    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: 2008-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
O20080604000218OClinic/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

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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 73199)

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Reviews

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Frequently asked questions

Where can patients find SANTA FE CLINIC OF EDMOND's NPI?
You can confirm SANTA FE CLINIC OF EDMOND with NPI 1316127913; it appears in the national provider directory.
Is SANTA FE CLINIC OF EDMOND's NPI currently valid?
The extract we use shows SANTA FE CLINIC OF EDMOND as active.
What field does SANTA FE CLINIC OF EDMOND work in?
You can think of SANTA FE CLINIC OF EDMOND as practicing within Urgent Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is SANTA FE CLINIC OF EDMOND's primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for SANTA FE CLINIC OF EDMOND.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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