Individual provider Active NPI

Ronan Alexander Bakker, M.D.

  • Maternal & Fetal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1013278613
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
32144 Issued in OK
Practice address
4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300
Phone
(405) 748-4726
Fax
(405) 607-8497
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 32144 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300

Mailing address

PO Box 268984
Oklahoma City, OK 73126-8984
Phone (405) 748-4726

Other practice location 1

3435 NW 56th St Ste 303
Oklahoma City, OK 73112-4414
Phone (405) 606-2850

Other practice location 2

3501 24th Ave NW Ste 101
Norman, OK 73069-6665
Phone (405) 801-2542

Other identifiers 2

IdentifierTypeStateIssuer
200690020AMedicaidOK
836395OtherOKMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813001033 OK Practitioner - Obstetrics/Gynecology 1658510342 Reassigns benefits to 1 organization
I20211102003031 TX Practitioner - Obstetrics/Gynecology 1658510342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Perinatal Center, PLLCGroup PAC ID 1153302120, 14 clinicians

Practice addresses (Care Compare)

4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8300
Phone (405) 748-4726

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation Division of Health Current Accepting new patients
Chickasaw Nation Division of Health CurrentSince Sep 20, 2021 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Sep 20, 2021 Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: perinatalcenterofoklahoma.ronanbakker@111704.advancedmd-direct.com

Organizations & group practices 4

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1013278613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268984",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268984",
            "telephone_number": "405-748-4726",
            "fax_number": "405-607-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208300",
            "telephone_number": "405-748-4726",
            "fax_number": "405-607-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 NW 56th St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124414",
            "country_code": "US",
            "telephone_number": "405-606-2850",
            "fax_number": "405-606-2855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 24th Ave NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730696665",
            "country_code": "US",
            "telephone_number": "405-801-2542",
            "fax_number": "405-801-2564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "RONAN",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OK",
            "license": "32144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200690020A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "836395",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.