Individual provider Active NPI

Taylor Keating

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1104490259
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8062 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9907
Phone
(918) 599-1000
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 8062 OK Primary

Addresses

Primary practice location

744 W 9TH St
Tulsa, OK 74127-9907

Mailing address

11013 S Lawrence St
Jenks, OK 74037-1804
Phone (580) 304-3097

Other names 1

  • Taylor Prado Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231121003084 TX Practitioner - Emergency Medicine 4082062567 Reassigns benefits to 1 organization
I20231122000016 OK Practitioner - Emergency Medicine 4082062567 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

Hospital & facility affiliations

  • Council Oak Comprehensive Healthcare Hospital, Tulsa, OK, CCN 370244
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8062OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Emergency Services PC Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 13, 2023 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 14, 2024 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 13, 2023 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 13, 2023 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Sep 23, 2025 Accepting new patients

Locations

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1101 S Belmont Ave
Okmulgee, OK 74447
Phone (918) 756-4345

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Dept 1467
Tulsa, OK 74182

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1104490259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11013 S LAWRENCE ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740371804",
            "telephone_number": "580-304-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279907",
            "telephone_number": "918-599-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "PRADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.