David Leroy McElwain, M.D.
Individual provider Active NPI Psychiatry Physician · Tulsa, OK
NPI 1003928334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003928334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 14829 (OK)
- Practice address
- 4111 S Darlington Ave
Suite 425
Tulsa, OK 74135-6348 - Phone
- (866) 285-4381
- Fax
- (918) 712-9883
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Oklahoma College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grand Lake Mental Health Center, Inc.
Practice addresses (Care Compare)
17599 S Hwy 88
Claremore, OK 74017-0801
Phone (918) 342-8161
Hospital & facility affiliations
- Saint Francis Hospital Vinita, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050718000588 | OK | Practitioner - Psychiatry | 8628019577 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14829 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Oklahoma State University | Current |
Accepting new patients | |
| Oklahoma State University | Current |
Accepting new patients | |
| Grand Lake Mental Health Center Inc. | Current |
Accepting new patients |
Locations
17599 S Highway 88
Claremore, OK 74017
Phone (918) 342-9530
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Dept 2563
Tulsa, OK 74182
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f686027e-6665-41bf-82f5-c9d2a9f004d7/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14829 | OK | Yes |
Addresses
Primary practice location
4111 S Darlington Ave
Suite 425
Tulsa, OK 74135-6348
Mailing address
2220 E 45TH PL
Tulsa, OK 74105-4218
Phone (918) 742-5009
Other providers in Tulsa, OK
- Terri McDuffie
- Roberta Miriam McElfresh
- Andrew Thomas McElhannon
- Kasandra Renee McElmurry
- April McElroy
- Christina McEndarfer
- Ryan McEndree
- Barbara McEntee
- Lori Lee McEntire
- Rebecca Kristine McEver
All providers in Tulsa, OK · Psychiatry Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.