EMERGENCY PHYSICIANS OF MIDWEST CITY, LLC – Emergency Medicine Physician, NPI 1558386474
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMERGENCY PHYSICIANS OF MIDWEST CITY, LLC
700 NE 13TH ST
OKLAHOMA CITY, OK 731045004
Phone: (405) 271-3667
Type: Location
900 17th St
Woodward, OK 738012448
Phone: (580) 256-5511
Type: Location
100 N 30th St
Clinton, OK 736013117
Phone: (580) 323-2363
Type: Location
1 S Bryant Ave
Edmond, OK 730346309
Phone: (405) 359-5561
Type: Location
PO BOX 734430
DALLAS, TX 753734430
Phone:
Type: Mailing
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731436408
Phone:
Type: Mailing
AllianceHealth Midwest, 2825, Parklawn Drive, Midwest City, Oklahoma County, Oklahoma, 73110, United States
MIDWEST CITY, OK 731104201
Phone: (405) 610-4411
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: 2004-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (49 days away).
Enrollment records
1
Earliest due date
2026-07-31
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 |
|---|---|---|---|---|
| O20041110001156 | O | Clinic/Group Practice | OK | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 73104)
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