Individual provider Active NPI

Jess T Roy, D.O.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1003889551
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3989 Issued in OK
Practice address
7912 E 31St CT
Suite 220
Tulsa, OK 74145-1315
Phone
(918) 743-8200
Fax
(918) 743-8609
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3989 OK Primary

Addresses

Primary practice location

7912 E 31St CT
Suite 220
Tulsa, OK 74145-1315

Mailing address

7912 E 31St CT
Suite 100
Tulsa, OK 74145-1315
Phone (918) 743-8200

Other identifiers 2

IdentifierTypeStateIssuer
200001840CMedicaidOK
G37001501OtherOKMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000912 OK Practitioner - Family PracticePractitioner - Emergency Medicine 1850290958 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
National Family Medical Associates, LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Harvard Family Physicians P C Current Accepting new patients
Harvard Family Physicians P C Family Medicine CurrentSince Feb 24, 2011 Accepting new patients
St. John Physicians, Inc. Family Medicine Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients
Mayes County Hma, LLC Past Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

7912 E 31st Ct
Ste 100
Tulsa, OK 74145
Phone (918) 743-8200

Dept 1206
Tulsa, OK 74182

9001 S 101st East Ave
Ste 270
Tulsa, OK 74133
Phone (918) 392-5470

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

7912 E 31st Ct
Ste 300
Tulsa, OK 74145
Phone (918) 743-8200

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • Direct secure messaging: jroy880486@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/16240/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1003889551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451315",
            "telephone_number": "918-743-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "address_2": "SUITE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451315",
            "telephone_number": "918-743-8200",
            "fax_number": "918-743-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JESS",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200001840C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "G37001501",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.