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MUSKOGEE MEDICAL CARE PLLC
NPI 1629368105
Family Medicine in Muskogee, OK

Active since April 18, 2011
2900 N MAIN ST, MUSKOGEE, OK 74401(918) 492-6333(918) 493-9405 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Muskogee Medical Care Pllc NPPES

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

MUSKOGEE MEDICAL CARE PLLC (NPI 1629368105) is a healthcare organization registered as a family medicine in Muskogee, Oklahoma and active in the NPI registry since April 2011. The organization lists Azhar Shakeel, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1629368105
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMUSKOGEE MEDICAL CARE PLLC
Location Address2900 N MAIN STMuskogee, OK 74401-4078
Mailing AddressPo Box 26168Oklahoma City, OK 73126-0168 · (918) 492-6333 · Fax (918) 493-9405
Phone(918) 492-6333
Fax(918) 493-9405
Organization SubpartNo
Authorized OfficialAzhar ShakeelPhysician/owner · (918) 492-6333
Enumeration DateApril 18, 2011
Last NPPES UpdateJune 6, 2011
✔ NPI 1629368105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 25016
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.
2900 N MAIN ST, Muskogee, OK 74401
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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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Muskogee Medical Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Kristie Powell, APRN
Nurse Practitioner
NPI 1467860585
109 W 6TH ST
Okmulgee, OK 74447
(918) 779-0709
✔ PECOS✔ Accepts Medicare36 mi
Tyler Woods
Nurse Practitioner
NPI 1013491141
3219 S 79TH EAST AVE
Tulsa, OK 74145
(918) 663-8183
✔ PECOS✔ Accepts Medicare38 mi
Susan Graham, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1003450628
2408 E 81ST ST STE 900
Tulsa, OK 74137
(918) 319-5021
✔ PECOS✔ Accepts Medicare38 mi
Azhar Shakeel, M.D
Family Practice
NPI 1114124674
DEWEY BARTLETT & MAIN
Henryetta, OK 74023
(918) 650-1323
✔ PECOS✔ Accepts Medicare44 mi
Jessica Henry, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1427525880
114036 N 3690 RD
Okemah, OK 74859
(918) 716-8378
✔ PECOS✔ Accepts Medicare66 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 Muskogee Medical Care PLLC's NPI number?

The NPI number for Muskogee Medical Care PLLC is 1629368105. It was assigned to this organization in the NPPES registry on April 18, 2011.

Where is Muskogee Medical Care PLLC located?

Muskogee Medical Care PLLC is located at 2900 N Main St, Muskogee, OK 74401. The listed phone number is (918) 492-6333.

What is Muskogee Medical Care PLLC's specialty?

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

Is Muskogee Medical Care PLLC enrolled in Medicare?

Yes. Muskogee Medical Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Muskogee Medical Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Muskogee Medical Care 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Muskogee Medical Care PLLC was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.