Individual provider Active NPI

Elizabeth V Macedo, M.D.

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1073596326
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17940 Issued in OK
Practice address
4111 S Darlington Ave
Ste 700
Tulsa, OK 74135-6348
Phone
(918) 743-8943
Fax
(918) 388-1242
NPI assigned
Nov 21, 2005
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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 17940 OK Primary

Addresses

Primary practice location

4111 S Darlington Ave
Ste 700
Tulsa, OK 74135-6348

Mailing address

PO Box 4939
Tulsa, OK 74159-0939
Phone (918) 743-8943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, DC, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040922000911 OK Practitioner - Diagnostic Radiology 3678462439 Reassigns benefits to 1 organization
I20200331001378 TX Practitioner - Diagnostic Radiology 3678462439 Reassigns benefits to 6 organizations
I20250131001606 DC Practitioner - Diagnostic Radiology 3678462439 Reassigns benefits to 1 organization
I20250204003166 MD Practitioner - Diagnostic Radiology 3678462439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians

Practice addresses (Care Compare)

12319 N Mopac Expwy
320 Austin Breast Imag
Austin, TX 78758-2414
Phone (866) 257-6864

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Rose Imaging Specialists, PA Diagnostic Radiology CurrentSince Mar 28, 2025 Accepting new patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology Past Accepting new patients
Radiological Imaging of Oklahoma, L.L.C. Past Accepting new patients
Tulsa CT LLC Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology PastSince Jan 1, 2021 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

27443 Network Pl
Chicago, IL 60673

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

10461 Mill Run Cir
Ste 1020
Owings Mills, MD 21117

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

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

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

12319 N Mopac Expy
#320
Austin, TX 78758

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6750 N MacArthur Blvd
Ste 153
Irving, TX 75039
Phone (469) 677-3174

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

10970 Shadow Creek Pkwy
Ste 190
Pearland, TX 77584
Phone (713) 770-7767

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Interoperability endpoints

  • Direct secure messaging: elizabeth.macedo@direct.stjohnhealthsystem.com

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1073596326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4939",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590939",
            "telephone_number": "918-743-8943",
            "fax_number": "918-388-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 S DARLINGTON AVE",
            "address_2": "STE 700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356348",
            "telephone_number": "918-743-8943",
            "fax_number": "918-388-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "17940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.