PATHWAYS MEDICAL LLC
NPI 1194185090
Clinic/Center - Primary Care in Edmond, OK

Active since March 04, 2016
13707 FAIRHILL AVE, EDMOND, OK 73013(405) 607-4041(405) 463-0090 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2026, May 18, 2021, Mar 4, 2016 (3 updates tracked since 2016).

About Pathways Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHWAYS MEDICAL LLC (NPI 1194185090) is a healthcare organization registered as a primary care in Edmond, Oklahoma and active in the NPI registry since March 2016. The organization lists Zachory Randall, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1194185090
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePATHWAYS MEDICAL LLC
Location Address13707 FAIRHILL AVEEdmond, OK 73013
Mailing Address13707 Fairhill AveEdmond, OK 73013 · (405) 607-4041 · Fax (405) 463-0090
Fax(405) 463-0090
Organization SubpartNo
Authorized OfficialZachory RandallCeo/president · (405) 607-4041
Enumeration DateMarch 4, 2016
Last NPPES UpdateJune 6, 20263 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1194185090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
13707 FAIRHILL AVE, Edmond, OK 73013

Other Identifiers 1

Medicaid200640210AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathways Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pathways Medical LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1508066127
4300 W MEMORIAL RD
Oklahoma City, OK 73120
(405) 752-3962
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1801339163
301 LILAC DR., STE. 230
Edmond, OK 73034
(405) 509-2918
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1669403085
3851 TINKER DIAGONAL
Del City, OK 73115
(405) 632-6688
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1992381982
1700 E 1ST ST
Granite, OK 73547
(580) 480-3700
✔ PECOS✔ Accepts Medicare114 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathways Medical LLC's NPI number?

The NPI number for Pathways Medical LLC is 1194185090. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Pathways Medical LLC located?

Pathways Medical LLC is located at 13707 Fairhill Ave, Edmond, OK 73013. The listed phone number is (405) 607-4041.

What is Pathways Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Pathways Medical LLC enrolled in Medicare?

Yes. Pathways Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathways Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pathways Medical LLC, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pathways Medical LLC was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.