OPTIMUM PRIMARY CARE PLLC
NPI 1760030399
Internal Medicine in Edmond, OK

Active since August 27, 2019CLIA 37D2216090 · Waiver
1501 E 19TH ST, EDMOND, OK 73013(405) 471-6511 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Jul 7, 2025, Nov 15, 2024 and 5 more (8 updates tracked since 2019).

About Optimum Primary Care Pllc NPPES

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

OPTIMUM PRIMARY CARE PLLC (NPI 1760030399), doing business as Optimum Care Partners, is a healthcare organization registered as an internal medicine in Edmond, Oklahoma and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Muhammad Sanaullah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760030399
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPTIMUM PRIMARY CARE PLLC
Location Address1501 E 19TH STEdmond, OK 73013-6618
Mailing Address1501 E 19th StEdmond, OK 73013-6618 · (405) 367-6180 · Fax (405) 359-5481
Organization SubpartNo
Authorized OfficialMuhammad SanaullahCeo · (405) 367-6180
Enumeration DateAugust 27, 2019
Last NPPES UpdateJuly 9, 20268 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1760030399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
1501 E 19TH ST, Edmond, OK 73013

Other Names 1

Doing Business AsOptimum Care Partners

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Optimum Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner26
Family Practice10
Internal Medicine8
Certified Clinical Nurse Specialist (CNS)2
Psychiatry2
Clinical Psychologist1
Hospitalist1
Orthopedic Surgery1
2 other specialties2

Nearest to this location (20)

See all 53
Nurse Practitioner
NPI 1437781283
1501 E 19TH ST
Edmond, OK 73013
(405) 766-8206
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982978722
1501 E 19TH ST STE 303
Edmond, OK 73013
(405) 471-6511
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1699079400
1501 E 19TH ST
Edmond, OK 73013
(405) 471-6511
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427566389
1008 S BRYANT AVE
Edmond, OK 73034
(405) 531-1579
✔ PECOS0.6 mi
Family Practice
NPI 1962755744
105 S BRYANT AVE STE NO108
Edmond, OK 73034
(405) 471-6511
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1477265866
105 S BRYANT AVE STE 308
Edmond, OK 73034
(405) 359-5514
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1467812156
3209 S BROADWAY STE 229
Edmond, OK 73013
(551) 295-8223
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1154962546
906 N BOULEVARD
Edmond, OK 73034
(405) 359-5370
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1164123451
1 S BRYANT AVE
Edmond, OK 73034
(405) 359-5370
✔ PECOS2.7 mi
Family Practice
NPI 1962068171
15112 TRADITIONS BLVD STE A
Edmond, OK 73013
(405) 289-0483
✔ PECOS✔ Accepts Medicare3.6 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1326678186
510 E MEMORIAL RD
Oklahoma City, OK 73114
(405) 777-4726
✔ PECOS4.4 mi
Internal Medicine
NPI 1326366899
510 E MEMORIAL RD
Oklahoma City, OK 73114
(405) 777-4726
✔ PECOS4.4 mi
Nurse Practitioner
NPI 1619524683
7017 N ROBINSON AVE
Oklahoma City, OK 73116
(405) 658-3130
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1801134390
4400 N LINCOLN BLVD
Oklahoma City, OK 73105
(405) 422-8800
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1992380158
2525 NW EXPRESSWAY STE 312
Oklahoma City, OK 73112
(405) 840-9999
✔ PECOS✔ Accepts Medicare9.4 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1457812752
5600 N MAY AVE STE 310
Oklahoma City, OK 73112
(855) 229-2211
✔ PECOS✔ Accepts Medicare9.5 mi
Family Practice
NPI 1710331442
3300 NW EXPRESSWAY
Oklahoma City, OK 73112
(405) 713-7403
✔ PECOS✔ Accepts Medicare9.9 mi
Clinical Psychologist
NPI 1942246228
5100 N BROOKLINE AVE 950
Oklahoma City, OK 73112
(405) 604-3170
✔ PECOS9.9 mi
Rheumatology
NPI 1629015763
3555 NW 58TH ST STE 804
Oklahoma City, OK 73112
(405) 548-0430
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1861586752
921 NE 13TH ST
Oklahoma City, OK 73104
(405) 270-5122
✔ PECOS11 mi
See all 53 clinicians

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 Waiver 37D2216090

Optimum Primary Care, PLLC · Edmond, OK
Active · expires Mar 8, 2027
CLIA Number37D2216090
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorAyesha Mughal
Laboratory Phone(405) 471-6511
Laboratory LocationOptimum Primary Care, PLLC1501 E 19th St, Edmond, OK 73013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Optimum Primary Care PLLC's NPI number?

The NPI number for Optimum Primary Care PLLC is 1760030399. It was assigned to this organization in the NPPES registry on August 27, 2019. The provider is doing business as Optimum Care Partners.

Where is Optimum Primary Care PLLC located?

Optimum Primary Care PLLC is located at 1501 E 19th St, Edmond, OK 73013. The listed phone number is (405) 471-6511.

What is Optimum Primary Care PLLC's specialty?

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

Is Optimum Primary Care PLLC enrolled in Medicare?

Yes. Optimum Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 10 Medicare specialties reassign their Medicare billing to Optimum Primary 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 (26), Family Practice (10) and Internal Medicine (8). Of these, 3 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optimum Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2216090) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimum Primary Care PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 33 other insurers list Optimum Primary Care 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 Optimum Primary Care PLLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.