Individual provider Active NPI

Charles Hayward Hill, M.D.

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1013979335
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16484 Issued in OK
Practice address
5330 E 31St St Ste 800
Tulsa, OK 74135-5004
Phone
(918) 664-9000
Fax
(918) 664-9922
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 16484 OK
Psychiatry Physician 2084P0800X 16484 OK Primary

Addresses

Primary practice location

5330 E 31St St Ste 800
Tulsa, OK 74135-5004

Mailing address

5330 E 31St St Ste 800
Tulsa, OK 74135-5004
Phone (918) 664-9000

Other identifiers 1

IdentifierTypeStateIssuer
100095570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16484OKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 1, 1966 Accepting new patients
St. John Physicians, Inc. Neurology CurrentSince Jul 1, 1966 Accepting new patients

Locations

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 510
Tulsa, OK 74104
Phone (918) 744-3501

1923 S Utica Ave
Fl 4
Tulsa, OK 74104
Phone (918) 748-7650

Interoperability endpoints

  • Direct secure messaging: charles.hill@1082464103694340.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1013979335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 E 31ST ST STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355004",
            "telephone_number": "918-664-9000",
            "fax_number": "918-664-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 E 31ST ST STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355004",
            "telephone_number": "918-664-9000",
            "fax_number": "918-664-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CHARLES",
        "middle_name": "HAYWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "16484",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "16484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.