Active NPI
Simeon Jaggernauth, DO
- Medical Oncology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 3898
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
- Saint Francis Hospital Muskogee
- Saint Francis Hospital Vinita, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3898 | OK | MD | Professional Counselor |
| E9890 | AR | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Saint Francis Hospital, Inc. | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Saint Francis Hospital, Inc | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Delgiacco Medical | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Medical Oncology | Current | Accepting new patients |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Delgiacco Medical | Past | 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.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Hematology & Oncology Physician
- Christiansted, VI
- NPI 1619418233
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
dba TTUHSC/Anatomical Pathology
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
dba Saint Francis Warren Clinic Tower Pharmacy
- Home Infusion Agency
- Tulsa, OK
- NPI 1184161283
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
dba Ttuhsc - DME
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
dba TTUHSC/ Oncology
- Medical Oncology Physician
- Lubbock, TX
- NPI 1790734085
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
-
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1578013579
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.