Individual provider Active NPI

Brandon Rhinehart, D.O.

  • MOHS-Micrographic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1104814045
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
4552 Issued in OK
Practice address
13100 N Western
Ste 301
Oklahoma City, OK 73114-1670
Phone
(405) 947-6647
Fax
(405) 948-6647
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 4552 OK Primary
Dermatology Physician 207N00000X 4552 OK

Addresses

Primary practice location

13100 N Western
Ste 301
Oklahoma City, OK 73114-1670

Mailing address

13100 N Western
Ste 301
Oklahoma City, OK 73114-1670
Phone (405) 947-6647

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000313 OK Practitioner - Dermatology 7719026830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oklahoma State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center of Oklahoma, P.C.Group PAC ID 8729128202, 2 clinicians

Practice addresses (Care Compare)

13100 N Western Ave
Suite 301
Oklahoma City, OK 73114-1432
Phone (405) 947-6647

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision165
Removal of skin lesions30
Removal of skin cancer1347
Removal of nail tissue1-10
Skin biopsy27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Mollet MD PLLC Mohs-Micrographic Surgery Current Accepting new patients
Skin Surgery Center of Oklahoma, P.C. Dermatology CurrentSince Oct 29, 2009 Accepting new patients

Locations

5701 N Portland Ave
Ste 301
Oklahoma City, OK 73112
Phone (405) 843-5588

13100 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 476-6479

Interoperability endpoints

  • Direct secure messaging: brandonr@skinok.emadirect.md

Organizations & group practices 2

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 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1104814045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN",
            "address_2": "STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141670",
            "telephone_number": "405-947-6647",
            "fax_number": "405-948-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN",
            "address_2": "STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141670",
            "telephone_number": "405-947-6647",
            "fax_number": "405-948-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINEHART",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "4552",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "4552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.