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INNOVATIVE MEDICAL ASSOCIATES PLLC
NPI 1407066228
Internal Medicine in Oklahoma City, OK

Active since May 23, 2007
4301 NW 63RD ST, SUITE 205, OKLAHOMA CITY, OK 73116(405) 242-6494(405) 242-6496 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Innovative Medical Associates Pllc NPPES

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

INNOVATIVE MEDICAL ASSOCIATES PLLC (NPI 1407066228) is a healthcare organization registered as an internal medicine in Oklahoma City, Oklahoma and active in the NPI registry since May 2007. The organization lists Vatsala Shah, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1407066228
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINNOVATIVE MEDICAL ASSOCIATES PLLC
Location Address4301 NW 63RD ST, SUITE 205Oklahoma City, OK 73116-1549
Mailing Address1225 W Main St, Suite 205Norman, OK 73069-6824 · (405) 292-5500 · Fax (405) 292-5505
Phone(405) 242-6494
Fax(405) 242-6496
Organization SubpartNo
Authorized OfficialVatsala ShahManaging Partner · (405) 553-1540
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1407066228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4301 NW 63RD ST, Oklahoma City, OK 73116
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Other Identifiers 4

Medicare UPIND34540OK
Medicare UPING46164OK
Medicaid100748720AOK
Medicare ID-Type Unspecified700522018OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Innovative Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Medical Associates PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vatsala Shah, MD
Internal Medicine
NPI 1376535328
4301 NW 63RD ST #205
Oklahoma City, OK 73116
(405) 242-6494
✔ PECOS✔ Accepts MedicareSame address

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 Innovative Medical Associates PLLC's NPI number?

The NPI number for Innovative Medical Associates PLLC is 1407066228. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Innovative Medical Associates PLLC located?

Innovative Medical Associates PLLC is located at 4301 NW 63rd St Suite 205, Oklahoma City, OK 73116. The listed phone number is (405) 242-6494.

What is Innovative Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Innovative Medical Associates PLLC enrolled in Medicare?

Yes. Innovative Medical Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Medical Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Innovative Medical Associates PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Medical Associates PLLC was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.