AYESHA MUGHAL MD
NPI 1811243009
Family Medicine in Oklahoma City, OK

Active since July 25, 2012PECOS EnrolledAccepts Medicare Assignment
800 STANTON L YOUNG BLVD # 8425, OKLAHOMA CITY, OK 73104(405) 271-6173(405) 271-5892 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2018, Jan 12, 2017, Dec 14, 2015 (3 updates tracked since 2015).

About Ayesha Mughal Md NPPES

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

AYESHA MUGHAL MD (NPI 1811243009) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (32596) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1811243009
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAYESHA MUGHALCredential: MD
Location Address800 STANTON L YOUNG BLVD # 8425Oklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young Blvd # 8425Oklahoma City, OK 73104-5018 · (405) 271-6173 · Fax (405) 271-5892
Fax(405) 271-5892
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 25, 2012
Last NPPES UpdateOctober 1, 20183 updates tracked since enumeration
✔ NPI 1811243009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OK · 32596✔ Licensed in ND · 13720✔ Licensed in ND · RL12287
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.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 32596 (OK)
800 STANTON L YOUNG BLVD # 8425, Oklahoma City, OK 73104

Other Identifiers 1

Medicaid12083ND

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayesha Mughal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365663325
PECOS Enrollment IDI20170123002465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Ayesha Mughal reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1000 N LEE AVE
Oklahoma City, OK 73102
  • Reassigned Medicare billing, Oklahoma enrollment
  • 212 clinicians in this Medicare group
Specialist
1111 N LEE AVE STE 305
Oklahoma City, OK 73103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 64 clinicians in this Medicare group
Hospitalist
1111 N LEE AVE STE 305
Oklahoma City, OK 73103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 89 clinicians in this Medicare group
Pulmonary Disease
4221 S WESTERN AVE, SUITE 2045
Oklahoma City, OK 73109
  • Reassigned Medicare billing, Oklahoma enrollment
  • 3 clinicians in this Medicare group
Family
13901 TECHNOLOGY DR
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
Urgent Care
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 53 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services41 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
46 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
28 services25 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
24 services22 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers16 claims70 services$1.77 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
6 suppliers52 claims52 services$27.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
800 STANTON L YOUNG BLVD # 8425
OKLAHOMA CITY, OK 73104
Internal Medicine (Pulmonary Disease)
800 STANTON L YOUNG BLVD # 8425
OKLAHOMA CITY, OK 73104
Internal Medicine (Pulmonary Disease)
800 STANTON L YOUNG BLVD # 8425
OKLAHOMA CITY, OK 73104
Internal Medicine (Pulmonary Disease)
800 STANTON L YOUNG BLVD # 8425
OKLAHOMA CITY, OK 73104
Internal Medicine (Pulmonary Disease)
800 STANTON L YOUNG BLVD # 8425
OKLAHOMA CITY, OK 73104
Internal Medicine (Pulmonary Disease)
800 STANTON L YOUNG BLVD # 8425
OKLAHOMA CITY, OK 73104

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 Ayesha Mughal's NPI number?

The NPI number for Ayesha Mughal is 1811243009. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Ayesha Mughal located?

Ayesha Mughal practices at 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104. The listed phone number is (405) 271-6173.

What is Ayesha Mughal's specialty?

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

Is Ayesha Mughal enrolled in Medicare?

Yes. Ayesha Mughal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ayesha Mughal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Mughal reassigns Medicare benefits to 8 organizations: Ssm Health Care Of Oklahoma, Inc (Oklahoma City, OK), Metro Healthcare Services LLC (Oklahoma City, OK), Metro Physicians LLC (Oklahoma City, OK), Southwest Pulmonary & Sleep Consultants (Oklahoma City, OK), Oklahoma Sleep Institute Clinic Okc LLC Osi Clinic (Oklahoma City, OK) and 3 more organizations, listed in the Medicare section above. Each 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 Ayesha Mughal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayesha Mughal accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ayesha Mughal 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.

Is Ayesha Mughal affiliated with any hospitals?

According to CMS data, Ayesha Mughal is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Ayesha Mughal was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.