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MIDWEST MEDICAL GROUP PLLC
NPI 1508842444
Family Medicine in Midwest City, OK

Active since December 22, 2005
1201 S DOUGLAS BLVD, SUITE J, MIDWEST CITY, OK 73130(405) 739-6840(405) 732-7149 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Midwest Medical Group Pllc NPPES

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

MIDWEST MEDICAL GROUP PLLC (NPI 1508842444) is a healthcare organization registered as a family medicine in Midwest City, Oklahoma and active in the NPI registry since December 2005. The organization lists Debbie Anderson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508842444
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIDWEST MEDICAL GROUP PLLC
Location Address1201 S DOUGLAS BLVD, SUITE JMidwest City, OK 73130-5239
Mailing Address1201 S Douglas Blvd, Suite JMidwest City, OK 73130-5239 · (405) 739-6840 · Fax (405) 732-7149
Phone(405) 739-6840
Fax(405) 732-7149
Organization SubpartNo
Authorized OfficialDebbie AndersonOffice Manager · (405) 739-6840
Enumeration DateDecember 22, 2005
Last NPPES UpdateDecember 11, 2014
✔ NPI 1508842444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 S DOUGLAS BLVD, Midwest City, OK 73130
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Other Identifiers 5

Medicaid100700490BOK
Other375659300OK · Dept Of Labor Feca
Medicare PIN700522062OK
Medicare NSC4562630001OK
Medicare PINCJ7294OK

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Midwest Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Michael Anderson, MD
Family Practice
NPI 1346226164
8800 SE 15
Midwest City, OK 73110
(405) 739-6840
✔ PECOS✔ Accepts Medicare0.3 mi
Melvin Cook, MD
Family Practice
NPI 1568448306
8800 SE 15
Midwest City, OK 73110
(405) 739-6840
✔ PECOS✔ Accepts Medicare0.3 mi
Aubrey Kavanaugh, M.D.
Family Practice
NPI 1487966313
8800 SE 15
Midwest City, OK 73110
(405) 739-6840
✔ PECOS✔ Accepts Medicare0.3 mi
Tanner Mcdaniel, MD
Family Practice
NPI 1669458451
8800 SE 15
Midwest City, OK 73110
(405) 739-6840
✔ PECOS✔ Accepts Medicare0.3 mi
Joshua Smith, M.D.
Family Practice
NPI 1245671908
8800 SE 15TH ST
Midwest City, OK 73110
(405) 739-6840
✔ PECOS0.3 mi
Stacey Knapp, DO
Family Practice
NPI 1104826569
3500 NW 56TH ST # SREET100
Oklahoma City, OK 73112
(405) 951-2855
✔ PECOS✔ Accepts Medicare13 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D0470685

Midwest Medical Group, PLLC · Midwest City, OK
Expired · Sep 30, 2026
CLIA Number37D0470685
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorTanner Mcdaniel
Laboratory Phone(405) 739-6840
Laboratory LocationMidwest Medical Group, PLLC8800 S E 15th Street, Midwest City, OK 73110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Midwest Medical Group PLLC's NPI number?

The NPI number for Midwest Medical Group PLLC is 1508842444. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Midwest Medical Group PLLC located?

Midwest Medical Group PLLC is located at 1201 S Douglas Blvd Suite J, Midwest City, OK 73130. The listed phone number is (405) 739-6840.

What is Midwest Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Midwest Medical Group PLLC enrolled in Medicare?

Yes. Midwest Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Family Practice, reassign their Medicare billing to Midwest Medical Group 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. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Midwest Medical Group PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Midwest Medical Group PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Midwest Medical Group PLLC was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.