David Lewis Hadley, M.D.
Individual provider Active NPI Family Medicine Physician · Shawnee, OK
NPI 1023070679 · NPPES record last updated Apr 26, 2017
Key facts
- NPI
- 1023070679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18911 (OK)
- Practice address
- 1920 N Broadway Ave
Shawnee, OK 74804-3722 - Phone
- (405) 273-7879
- Fax
- (405) 273-7885
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Physicians LLC
Prague Healthcare Authority
Practice addresses (Care Compare)
1102 W Macarthur St
SSM St Anthony Shawnee
Shawnee, OK 74804-1743
Phone (405) 272-4978
1322 Klabzuba Ave
Prague, OK 74864-4900
Phone (405) 567-4922
Hospital & facility affiliations
- Lifespring Home Health
- Elara Caring Xxiii
- Cohesive Healthcare
- Prague Regional Memorial Hospital
- SSM Health St Anthony Hospital - Shawnee
- SSM Health St Anthony Hospital - Midwest
- SSM Health St Anthony Hospital - Oklahoma City
- Prague Regional Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.2 of 100
- Quality
- 93.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 93.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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 |
|---|---|---|---|---|
| I20040504000347 | OK | Practitioner - Family Practice | 8527951961 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18911 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prague Healthcare Authority | Current |
Accepting new patients | |
| Prague Healthcare Authority | Current |
Accepting new patients | |
| Metro Physicians LLC | Current |
Accepting new patients | |
| Global Physician Services LLC | Past | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Past | Accepting new patients |
Locations
1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978
1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Interoperability endpoints
- dhadley101813@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18911 | OK | Yes |
Addresses
Primary practice location
1920 N Broadway Ave
Shawnee, OK 74804-3722
Mailing address
1920 N Broadway Ave
Shawnee, OK 74804-3722
Phone (405) 924-0938
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100164890A | Medicaid | OK |
NPI Registry JSON
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1023070679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 N BROADWAY AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748043722",
"telephone_number": "405-924-0938",
"fax_number": "405-703-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 N BROADWAY AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748043722",
"telephone_number": "405-273-7879",
"fax_number": "405-273-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "DAVID",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "18911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100164890A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
- Phillip A. Haddad
- Tristaan Haddad
- Walid John Haddad
- Hadley Health Services LLC
- Hadley Ventures, Inc
- Josiah Abram Hadsall
- Lisa Marie Hadsall
- La Rita R Haffey
- Shelby Hagans
- Michael Robert Haider
All providers in Shawnee, OK · Family Medicine 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 Apr 26, 2017. 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.