Active NPI
Jess T Roy, D.O.
- Family Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200001840C | Medicaid | OK | |
| G37001501 | Other | OK | MEDICARE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Family Medicine | Current | Accepting new patients |
| National Family Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Harvard Family Physicians P C | Current | Accepting new patients | |
| Harvard Family Physicians P C | Family Medicine | Current | 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
- jroy880486@ahs.direct-ci.com
- https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/16240/brand/1/csg/1/fhir/r4
- 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.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1306891288
-
dba VIPcare
- Primary Care Clinic/Center
- Tulsa, OK
- NPI 1477287720
Family Medicine
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
dba Harvard Family Physicians Pharmacy
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1437433448
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1003918830
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.