NPIMap

Individual provider Active NPI

Scott A Newbrough, MD

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
National Provider Identifier
1053551234
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
26809 Issued in OK
Practice address
2000 S Wheeling Ave Ste 100
Tulsa, OK 74104
Phone
(918) 403-7070
Fax
(918) 403-6327
NPI assigned
Feb 27, 2009
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26809 OK
Plastic and Reconstructive Surgery Physician 2086S0122X 26809 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 100
Tulsa, OK 74104

Mailing address

2000 S Wheeling Ave Ste 100
Tulsa, OK 74104-5643
Phone (918) 403-7070

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
I20090820000612 OK Practitioner - Plastic and Reconstructive Surgery 9133273493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1809 E 13TH St
Suite 400
Tulsa, OK 74104-4431
Phone (918) 599-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy51
Melanoma (skin cancer) excision21
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jun 1, 2011 Accepting new patients
Ahs Oklahoma Physician Group LLC Surgery CurrentSince Jan 1, 2023 Accepting new patients
St. John Physicians, Inc. CurrentSince Jun 1, 2011 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
St John Cardiovasuclar Services Inc Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1809 E 13th St
Ste 400
Tulsa, OK 74104
Phone (918) 599-8200

2000 S Wheeling Ave
Ste 100
Tulsa, OK 74104
Phone (918) 403-7070

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: scott.newbrough@direct.stjohnhealthsystem.com
  • Direct secure messaging: snewbrough782664@ahs.direct-ci.com

Organizations & group practices 6

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 4

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": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1053551234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045643",
            "telephone_number": "918-403-7070",
            "fax_number": "918-403-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-403-7070",
            "fax_number": "918-403-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBROUGH",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "26809",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "26809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.