NPIMap

Individual provider Active NPI

Douglas Dewindt, PA

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1033858436
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8100 S Walker Ave
Oklahoma City, OK 73139-9475
Phone
(405) 632-4468
Fax
(405) 632-0436
NPI assigned
Jun 2, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

8100 S Walker Ave
Oklahoma City, OK 73139-9475

Mailing address

8100 S Walker Ave
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000250 OK Practitioner - Physician Assistant 0345623757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1805 Commons Cir
Suite 100C
Yukon, OK 73099-9519
Phone (405) 265-0165

2506 N Harrison St
Shawnee, OK 74804-3131
Phone (405) 395-9050

6001 NW 139TH St
Suite a
Oklahoma City, OK 73142-1919
Phone (405) 635-3511

8100 S Walker Ave
BLDG a
Oklahoma City, OK 73139-9475

8100 S Walker Ave BLDG a
Southwest Orthopaedic and Reconstructive
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.92 of 100Reported as group
Quality
56.21
Promoting interoperability
100
Improvement activities
40
Cost
66.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4827OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopaedic Specialists, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Southwest Orthopaedic Specialists, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Community Hospital LLC Past Accepting new patients
Southwest Orthopaedic Specialists, P.L.L.C. Past Accepting new patients

Locations

6001 NW 139th St
Ste A
Oklahoma City, OK 73142
Phone (405) 635-3511

8100 S Walker Ave
Bldg A
Oklahoma City, OK 73139

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

1805 Commons Cir
Ste 100C
Yukon, OK 73099
Phone (405) 265-0165

Interoperability endpoints

  • Direct secure messaging: ddewindt191845@direct.integrisok.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1033858436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWINDT",
        "first_name": "DOUGLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.