Active NPI
Paul Alan Kammerlocher, MD
- Orthopaedic Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 17277
- Practice address
- 3115 SW 89TH St
Oklahoma City, OK 73159-7901 - Phone
- (405) 486-6900
- Fax
- (405) 486-6839
- NPI assigned
- Jul 11, 2005
- Last updated
- Apr 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 17277 | OK | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 17277 | OK |
Addresses
Primary practice location
3115 SW 89TH St
Oklahoma City, OK 73159-7901
Mailing address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200034662 | Medicaid | OK | |
| 100825150C | Medicaid | OK |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Oklahoma College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032
3115 SW 89TH St
Oklahoma City, OK 73159-7901
Phone (405) 486-6860
711 Stanton L Young Blvd
Oklahoma City, OK 73104-5023
Phone (405) 271-4700
825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17277 | OK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| The Physicians Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| McBride Clinic Orthopedic Hospital, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| McBride Clinic Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
1110 N Lee Ave
Oklahoma City, OK 73103
Phone (405) 232-0341
3115 SW 89th St
Oklahoma City, OK 73159
Phone (405) 424-5630
711 Stanton L Young Blvd
Ste 430
Oklahoma City, OK 73104
Phone (405) 271-6434
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
825 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-1500
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
Interoperability endpoints
- paulkammerlocher@okss.allscriptsdirect.net
- pkammerlocher25356@ouhealth.direct-ci.net
- pkammerlocher392606@direct.integrisok.com
Organizations & group practices 9
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.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1053319889
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Hospital
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1043218381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597901",
"telephone_number": "405-486-6900",
"fax_number": "405-486-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMERLOCHER",
"first_name": "PAUL",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "17277",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "OK",
"license": "17277",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200034662",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100825150C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.