Individual provider Active NPI

Randel Dean Estep, DO

  • Occupational Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1073512711
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
00757960 Issued in OK
Practice address
4901 W Reno Ave
Ste 500
Oklahoma City, OK 73127-6346
Phone
(405) 230-9250
Fax
(405) 943-0742
NPI assigned
Jul 15, 2005
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 00757960 OK Primary

Addresses

Primary practice location

4901 W Reno Ave
Ste 500
Oklahoma City, OK 73127-6346

Mailing address

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address randel.estep@moh.eclinicaldirectplus.com Direct

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
I20100111000653 OK Practitioner - Preventive MedicinePractitioner - Other (Physician) 7214078344 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3568OKMDProfessional Counselor
00757960OKMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McBride Clinic Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: randel.estep@moh.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1073512711",
    "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": "405-230-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W RENO AVE",
            "address_2": "STE 500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276346",
            "telephone_number": "405-230-9250",
            "fax_number": "405-943-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEP",
        "first_name": "RANDEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OK",
            "license": "00757960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randel.estep@moh.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Estep direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4901 W Reno Ave",
            "address_2": "Ste 500",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731276346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.