Active NPI
Brent C McAnulty, M.D.
- Hospitalist Physician
- Tulsa, OK
National Provider Identifier
1023201720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25848
- Practice address
- 1145 S Utica Ave
Ste 460
Tulsa, OK 74104 - Phone
- (918) 579-5749
- Fax
- (918) 579-5762
- NPI assigned
- Aug 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25848 | OK | |
| Pediatrics Physician | 208000000X | 25848 | OK | |
| Hospitalist Physician | 208M00000X | 25848 | OK | Primary |
Addresses
Primary practice location
1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Mailing address
1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 579-5749
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25848 | OK | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Thi Specialists LLC | Internal Medicine | Current | Accepting new patients |
| Tulsa Hospital Medicine Physicians Group, LLC | Internal Medicine | Current | Accepting new patients |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| Ahs Southcrest Hospital, LLC | Past | Accepting new patients |
Locations
1000 W Boise Cir
Fl 3
Broken Arrow, OK 74012
Phone (918) 682-6161
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884
2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856
Interoperability endpoints
- bmcanulty106884@ahs.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Broken Arrow, OK
- NPI 1205588928
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1023201720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE",
"address_2": "STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-579-5749",
"fax_number": "918-579-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE",
"address_2": "STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-579-5749",
"fax_number": "918-579-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANULTY",
"first_name": "BRENT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-26",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "25848",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "25848",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "25848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.