{
  "npi": "1629160684",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAGHUVENDER",
    "authorized_official_last_name": "GANTA",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4052700501",
    "authorized_official_title_or_position": "chief of Anesthesiology",
    "enumeration_date": "2006-09-28",
    "last_updated": "2020-08-22",
    "organization_name": "ANESTHESIOLOGY",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "921, 13 TH STREET",
      "address_2": "7TH FLOOR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OKLAHOMA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "405-270-1546",
      "postal_code": "731045007",
      "state": "OK",
      "telephone_number": "405-270-0501"
    },
    {
      "address_1": "921, NE 13 TH STREET",
      "address_2": "7 TH FLOOR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "OKLAHOMA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "405-270-1546",
      "postal_code": "731045007",
      "state": "OK",
      "telephone_number": "405-270-0501"
    }
  ],
  "taxonomies": [
    {
      "code": "281P00000X",
      "desc": "Chronic Disease Hospital",
      "license": "17965",
      "primary": true,
      "state": "OK",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Hospitals — Chronic Disease Hospital",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Hospitals"
      }
    ]
  }
}