Individual provider Active NPI

Steven K Watkins, DO

  • Family Medicine Physician
  • Ardmore, OK
National Provider Identifier
1053377937
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4120 Issued in OK
Practice address
908 N Rockford Rd
Suite G
Ardmore, OK 73401-2540
Phone
(580) 490-9411
Fax
(580) 490-9415
NPI assigned
Apr 21, 2006
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4120 OK Primary

Addresses

Primary practice location

908 N Rockford Rd
Suite G
Ardmore, OK 73401-2540

Mailing address

908 N Rockford Rd Ste G
Ardmore, OK 73401-2541
Phone (580) 490-9411

Other identifiers 1

IdentifierTypeStateIssuer
4120OtherOKOKLAHOMA LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000625 OK Practitioner - Family Practice 1456392679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve Watkins DO PCGroup PAC ID 4688856180, 2 clinicians

Practice addresses (Care Compare)

908 N Rockford Rd
Suite G
Ardmore, OK 73401-2541
Phone (580) 490-9411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4120OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Watkins DO PC Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Mercy Health Services-Southern Region, LLC Family Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1001 15th Ave NW
Ardmore, OK 73401
Phone (580) 223-3737

908 N Rockford Rd
Ste G
Ardmore, OK 73401
Phone (580) 490-9411

Organizations & group practices 3

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 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1053377937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD STE G",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012541",
            "telephone_number": "580-490-9411",
            "fax_number": "580-490-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE G",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-490-9411",
            "fax_number": "580-490-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA LICENSE",
            "identifier": "4120",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.