Active NPI
Royce Lee Bargas, DO
- Clinical Cardiac Electrophysiology Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 4978
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CO |
Other names 1
- Royce Peterman
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101113000244 | OK | Practitioner - Cardiovascular Disease (Cardiology) | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4978 | OK | MD | Mental Health Counselor |
| TL-911 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royce L Bargas DO LLC | Clinical Cardiac Electrophysiology | Current | 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
- https://fhir4.healow.com/fhir/r4/JJGEBD/Endpoint/JJGEBD
- drbargas@direct.meditouchehr.com
- 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.
-
- Clinical Cardiac Electrophysiology Physician
- Edmond, OK
- NPI 1730673906
Clinical Cardiac Electrophysiology, OK
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1851344188
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
- Onecore Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.