Individual provider Active NPI

Simeon Jaggernauth, DO

  • Medical Oncology Physician
  • Tulsa, OK
National Provider Identifier
1083667737
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
3898 Issued in OK
Practice address
11212 E 48TH St
Tulsa, OK 74146-5824
Phone
(918) 556-3000
Fax
(918) 556-7052
NPI assigned
May 17, 2006
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 3898 OK Primary
Medical Oncology Physician 207RX0202X E9890 AR

Addresses

Primary practice location

11212 E 48TH St
Tulsa, OK 74146-5824

Mailing address

6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR, HI, TX, VI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20050601000664 OK Practitioner - Medical OncologyPractitioner - Internal Medicine 7214996735 Reassigns benefits to 3 organizations
I20160901001075 AR Practitioner - Medical OncologyPractitioner - Radiation Oncology 7214996735
I20220503001358 HI Practitioner - Medical Oncology 7214996735 Reassigns benefits to 1 organization
I20231215001626 TX Practitioner - Hematology/Oncology 7214996735 Reassigns benefits to 1 organization
I20260417003452 VI Practitioner - Hematology/Oncology 7214996735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Oklahoma State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delgiacco MedicalGroup PAC ID 8628347218, 6 clinicians
Saint Francis Hospital, Inc.Group PAC ID 9537061171, 58 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

3018 Orange Grove
Christiansted, VI 00820-9998
Phone (340) 772-1551

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-6164

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3898OKMDProfessional Counselor
E9890ARMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Oct 26, 2015 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Oct 7, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Saint Francis Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Warren Clinic Inc CurrentSince Jan 1, 2025 Accepting new patients
Saint Francis Hospital, Inc CurrentSince Jan 1, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 23, 2022 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Delgiacco Medical CurrentSince Apr 1, 2026 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 23, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Medical Oncology CurrentSince Oct 7, 2023 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Delgiacco Medical PastSince Apr 1, 2026 Accepting new patients
Oklahoma Oncology & Hematology PC Past Accepting new patients
Oklahoma Oncology and Hematology, P.C. Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878

11212 E 48th St
Tulsa, OK 74146
Phone (918) 556-3000

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

1919 S Wheeling Ave
Ste 204
Tulsa, OK 74104
Phone (918) 403-7200

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Networks

  • HI PPO

Organizations & group practices 15

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 15

Hospital & facility affiliations 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1083667737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 E 48TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465824",
            "telephone_number": "918-556-3000",
            "fax_number": "918-556-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGERNAUTH",
        "first_name": "SIMEON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OK",
            "license": "3898",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AR",
            "license": "E9890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.