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Marvis Mimba

General Practice β€’ Oklahoma City, OK

Active NPI 1073343828 Individual Practitioner Female Practitioner
Practice location in NPPES

4101 Perimeter Center Dr
Oklahoma City, OK 731122302

Call 5637667014 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4101 Perimeter Center Dr

Oklahoma City, OK 731122302

Telephone 5637667014
Organization at the Same NPPES Address or Phone
Choices For Life Foster Care, Inc Facility NPI 1871651802

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Oklahoma City, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oklahoma City and Oklahoma

32 active clinicians are listed under General Practice with a practice address in Oklahoma City, OK (133 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oklahoma City

12.5% of these 32 clinicians have the CMS telehealth indicator.

25% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-10
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES OK 219763

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

2828 Nw 57th St

Oklahoma City, OK 731126814

Phone: 4054184777

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1588339022

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location November 10, 2024

Registered at 4101 PERIMETER CENTER DR, OKLAHOMA CITY, OK 731122302 (Tel: 5637667014)

βœ…
NPI Profile Active August 06, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2024

Registered at 2828 NW 57TH ST, OKLAHOMA CITY, OK 731126814 (Tel: 4054184777)

πŸ“
Business Mailing Address (Initial Record) August 06, 2024

Registered at 2828 NW 57TH ST, OKLAHOMA CITY, OK 731126814 (Tel: 4054184777)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2024

Recorded as MARVIS MIMBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2024

General Practice (license number reported to NPPES: OK 219763)

🟒
Initial NPI Registration & Enumeration August 06, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073343828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2024
Last Update: November 10, 2024
Sole Proprietor: No

Other General Practices in Oklahoma City

All General Practices in Oklahoma City

Mailing Address

2828 Nw 57th St

Oklahoma City, OK 731126814

Phone: 4054184777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.