Individual provider Active NPI

Rosa J. Rios

  • Medical Physician Assistant
  • Edmond, OK
National Provider Identifier
1083072185
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2624 Issued in OK
Practice address
4801 Integris Pkwy
Edmond, OK 73034-8864
Phone
(405) 657-3000
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2624 OK Primary

Addresses

Primary practice location

4801 Integris Pkwy
Edmond, OK 73034-8864

Mailing address

410 SW 38TH St
Oklahoma City, OK 73109-6904
Phone (405) 570-1344

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002090 OK Practitioner - Physician Assistant 4789945304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Classen Urgent Care Clinic LLCGroup PAC ID 3577737881, 17 clinicians
Classen Family Practice LLCGroup PAC ID 8729215025, 10 clinicians

Practice addresses (Care Compare)

1015 SW 4TH St
Moore, OK 73160-2404
Phone (405) 378-2001

211 S Main St
Noble, OK 73068-9623
Phone (405) 447-9025

2818 Classen Blvd
Norman, OK 73071-4059
Phone (405) 701-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Classen Family Practice LLC Medical CurrentSince Jan 1, 2026 Accepting new patients
Rosa J. Rios Past Accepting new patients

Locations

211 S Main St
Noble, OK 73068
Phone (405) 701-3563

2824 Classen Blvd
Norman, OK 73071
Phone (405) 701-3563

2818 Classen Blvd
Norman, OK 73071
Phone (405) 701-7111

2824 Classen Blvd
#100
Norman, OK 73071
Phone (405) 701-3563

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1083072185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SW 38TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731096904",
            "telephone_number": "405-570-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 INTEGRIS PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-657-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "ROSA",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.