Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WINDSOR PARK MEDICAL CLINIC, LLC
NPI 1699823617
Family Medicine in Oklahoma City, OK

Active since January 08, 2007
3625 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112(405) 605-5415(405) 605-5310 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, May 12, 2026, Mar 10, 2026 and 1 more (4 updates tracked since 2019).

About Windsor Park Medical Clinic, Llc NPPES

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

WINDSOR PARK MEDICAL CLINIC, LLC (NPI 1699823617) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since January 2007. The organization lists Kehdinga Nukuna, Owner, as its authorized official.

NPPES Registry Identity

NPI1699823617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWINDSOR PARK MEDICAL CLINIC, LLC
Location Address3625 N MERIDIAN AVEOklahoma City, OK 73112-2813
Mailing Address3625 N Meridian AveOklahoma City, OK 73112-2813 · (405) 605-5415 · Fax (405) 605-5310
Fax(405) 605-5310
Organization SubpartNo
Authorized OfficialKehdinga NukunaOwner · (405) 605-5415
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 19, 20264 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1699823617 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.
3625 N MERIDIAN AVE, Oklahoma City, OK 73112

Other Identifiers 2

Medicaid200029970BOK
Other37D1027083OK · Clia #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Windsor Park Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1073172607
3625 N MERIDIAN AVE
Oklahoma City, OK 73112
(405) 605-5415
✔ PECOSSame address
Nurse Practitioner
NPI 1588101596
5300 N MERIDIAN AVE STE 8
Oklahoma City, OK 73112
(405) 768-2121
✔ PECOS1.2 mi
Internal Medicine
NPI 1417275041
3300 NW EXPRESSWAY
Oklahoma City, OK 73112
(405) 713-7403
✔ PECOS✔ Accepts Medicare2.1 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 Windsor Park Medical Clinic, LLC's NPI number?

The NPI number for Windsor Park Medical Clinic, LLC is 1699823617. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Windsor Park Medical Clinic, LLC located?

Windsor Park Medical Clinic, LLC is located at 3625 N Meridian Ave, Oklahoma City, OK 73112. The listed phone number is (405) 605-5415.

What is Windsor Park Medical Clinic, LLC's specialty?

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

Is Windsor Park Medical Clinic, LLC enrolled in Medicare?

Yes. Windsor Park Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Windsor Park Medical Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Windsor Park Medical Clinic, LLC, in 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, 1 practice at this address and 3 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 Windsor Park Medical Clinic, LLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.