Individual provider Active NPI

Samuel Brandon Hancock, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1063672608
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26546 Issued in OK
Practice address
4510 NW 39TH St
Oklahoma City, OK 73122-2503
Phone
(405) 495-5841
NPI assigned
Jun 16, 2008
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26546 OK Primary

Addresses

Primary practice location

4510 NW 39TH St
Oklahoma City, OK 73122-2503

Mailing address

1705 Renaissance Blvd
Edmond, OK 73013-3041
Phone (405) 285-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100408000359 OK Practitioner - Diagnostic RadiologyPractitioner - Family Practice 3577699073 Reassigns benefits to 13 organizations
I20180614000232 TX Practitioner - Diagnostic Radiology 3577699073 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Oct 31, 2018 Accepting new patients
Ohh Physicians, LLC CurrentSince Aug 1, 2024 Accepting new patients
North Star MRI LP CurrentSince Jul 1, 2023 Accepting new patients
North Star FP, LP CurrentSince May 10, 2024 Accepting new patients
North Star FM, LP CurrentSince Jul 1, 2023 Accepting new patients
North Star MCD, LLC Current Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince May 1, 2018 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince May 10, 2024 Accepting new patients
Zuni Indian Hospital CurrentSince May 19, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 15, 2022 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince May 15, 2022 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jul 1, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince May 1, 2018 Accepting new patients
Albuquerque Indian Health Center CurrentSince Jul 12, 2018 Accepting new patients
North Star NPT LP CurrentSince Jul 1, 2023 Accepting new patients
North Star MCD, LLC CurrentSince Jul 1, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Sep 9, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
North Star MCD, LLC CurrentSince Jul 1, 2023 Accepting new patients
Anadarko Indian Health Center CurrentSince Sep 9, 2018 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 23, 2018 Accepting new patients
Cherokee Nation CurrentSince Oct 31, 2018 Accepting new patients
North Star GV, LP CurrentSince Sep 2, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 23, 2018 Accepting new patients
Oklahoma Heart Hospital, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Amrad Evolution Imaging LLC Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients

Locations (25 of 43)

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

817 W Covell Rd
Edmond, OK 73003
Phone (405) 652-0445

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

13301 N Meridian Ave
Ste 600A
Oklahoma City, OK 73120
Phone (405) 752-1994

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3600 NW 138th St
Ste 102
Oklahoma City, OK 73134
Phone (800) 266-9910

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

5224 E I 240 Service Rd
Fl 2
Oklahoma City, OK 73135

9800 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 419-2980

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

Interoperability endpoints

  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 8

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1063672608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133041",
            "telephone_number": "405-285-7500",
            "fax_number": "405-285-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 NW 39TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731222503",
            "telephone_number": "405-495-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SAMUEL",
        "middle_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "26546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.