Individual provider Active NPI

Royce Lee Bargas, DO

  • Clinical Cardiac Electrophysiology Physician
  • Edmond, OK
National Provider Identifier
1013063635
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
4978 Issued in OK
Practice address
3839 S Boulevard Ste 100
Edmond, OK 73013
Phone
(405) 607-4445
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 61841 MN
Student in an Organized Health Care Education/Training Program 390200000X TL-911 CO
Clinical Cardiac Electrophysiology Physician 207RC0001X 4978 OK Primary

Addresses

Primary practice location

3839 S Boulevard Ste 100
Edmond, OK 73013

Mailing address

PO Box 3324
Oklahoma City, OK 73101-3324
Phone (405) 418-4800

Other practice location 1

2801 Parklawn Dr
Suite 504
Midwest City, OK 73110-4211
Phone (405) 732-7020

Other practice location 2

1001 E Superior St Ste L201
Duluth, MN 55802-2207
Phone (218) 249-3057

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCO

Other names 1

  • Royce Peterman Former name

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
I20101113000244 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiac Surgery 1850453986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4978OKMDMental Health Counselor
TL-911COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Royce L Bargas DO LLC Clinical Cardiac Electrophysiology CurrentSince Jul 1, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3839 S Boulevard
Ste 100
Edmond, OK 73013
Phone (405) 471-5522

609 W Memorial Rd
Oklahoma City, OK 73114
Phone (405) 418-2676

3700 N Kickapoo Ave
Ste 104
Shawnee, OK 74804
Phone (405) 273-6383

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJGEBD/Endpoint/JJGEBD
  • Direct secure messaging: drbargas@direct.meditouchehr.com
  • Direct secure messaging: bargasr@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Cardiac Surgery
Education
Michigan College of Medicine and Surgery, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3839 S Boulevard
Suite 100
Edmond, OK 73013-5580
Phone (405) 607-4445

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1013063635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3324",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731013324",
            "telephone_number": "405-418-4800",
            "fax_number": "405-418-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 S BOULEVARD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-607-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Parklawn Dr",
            "address_2": "Suite 504",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731104211",
            "country_code": "US",
            "telephone_number": "405-732-7020",
            "fax_number": "405-732-7839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Superior St Ste L201",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558022207",
            "country_code": "US",
            "telephone_number": "218-249-3057",
            "fax_number": "218-249-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARGAS",
        "first_name": "ROYCE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MN",
            "license": "61841",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL-911",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OK",
            "license": "4978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROYCE",
            "last_name": "PETERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.