JOSE MEDINA PA
NPI 1972643534
Physician Assistant in Oklahoma City, OK

Active since February 06, 2007PECOS Enrolled
4300 W MEMORIAL RD, ER DEPT, OKLAHOMA CITY, OK 73120(405) 752-3733(405) 749-4557 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose Medina Pa NPPES

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

JOSE MEDINA PA (NPI 1972643534) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (1575) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972643534
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSE MEDINACredential: PA
Location Address4300 W MEMORIAL RD, ER DEPTOklahoma City, OK 73120-8304
Mailing Address4401 W Memorial Rd, Suite 140Oklahoma City, OK 73134-1785 · (405) 752-3162 · Fax (405) 936-5211
Fax(405) 749-4557
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMay 2, 2014
NPI 1972643534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 1575
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4300 W MEMORIAL RD, Oklahoma City, OK 73120

Other Identifiers 4

Medicare PIN249713801OK
Medicare PIN249713802OK
Medicaid200105850AOK
Medicare PINP00470356OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jose Medina Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Hospitalist
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Emergency Medicine
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120

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 Jose Medina's NPI number?

The NPI number for Jose Medina is 1972643534. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Jose Medina located?

Jose Medina practices at 4300 W Memorial Rd ER Dept, Oklahoma City, OK 73120. The listed phone number is (405) 752-3733.

What is Jose Medina's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jose Medina enrolled in Medicare?

Yes. Jose Medina is registered in the Medicare PECOS enrollment system.

What insurance does Jose Medina accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Jose Medina 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 Jose Medina was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.