INTEGRIS SOUTHWEST BREAST CENTER
NPI 1336155779
Clinic/Center - Radiology, Mammography in Oklahoma City, OK
About Integris Southwest Breast Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRIS SOUTHWEST BREAST CENTER (NPI 1336155779) is a healthcare organization registered as a radiology, mammography in Oklahoma City, Oklahoma and active in the NPI registry since July 2006. The organization lists Stanely Hupfeld, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integris Southwest Breast Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
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 Integris South Oklahoma City Hospital Corporation's NPI number?
The NPI number for Integris South Oklahoma City Hospital Corporation is 1336155779. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Integris Southwest Breast Center.
Where is Integris South Oklahoma City Hospital Corporation located?
Integris South Oklahoma City Hospital Corporation is located at 4100 S Douglas Ave, Oklahoma City, OK 73109. The listed phone number is (405) 636-7480.
What is Integris South Oklahoma City Hospital Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.
Is Integris South Oklahoma City Hospital Corporation enrolled in Medicare?
Yes. Integris South Oklahoma City Hospital Corporation is registered in the Medicare PECOS enrollment system.
When is Integris South Oklahoma City Hospital Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oklahoma, Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Integris South Oklahoma City Hospital Corporation was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Integris Southwest Breast Center · NPI 1336155779
Radiology, Mammography organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1336155779 (Entity type: Organization)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Clinic/Center - Radiology, Mammography · taxonomy 261QR0206X
- **Legal business name:** Integris South Oklahoma City Hospital Corporation
- **Organization subpart:** No
- **Authorized official:** Stanely Hupfeld, PRESIDENT/CEO
## Practice location
- **Address:** 4100 S DOUGLAS AVE, Oklahoma City, OK 73109-3210
- **Phone:** (405) 636-7480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Oklahoma, Hospital) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1336155779) · Data from the CMS NPPES public registry.