Active NPI
Manuel Delarosa, MD
- Emergency Medicine Physician
- Lawton, OK
National Provider Identifier
1104833201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21197
- Practice address
- 20 NW 67TH St
Suite E
Lawton, OK 73505-5630 - Phone
- (580) 536-9400
- NPI assigned
- Aug 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21197 | OK | Primary |
Addresses
Primary practice location
20 NW 67TH St
Suite E
Lawton, OK 73505-5630
Mailing address
20 NW 67TH St
Suite E
Lawton, OK 73505-5630
Phone (580) 536-9400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1902 E Gore Blvd
Lawton, OK 73501-6102
Phone (580) 357-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21197 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xgto Urgent Medical of Lawton, LLC | Current | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| Memorial Health University Medical Center, Inc. | Past | Accepting new patients | |
| Four States Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Swallowtail Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of North Texas PLLC | Emergency Medicine | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Past | Accepting new patients |
| Wichita Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
1902 E Gore Blvd
Lawton, OK 73501
Phone (580) 357-4200
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.
-
- Urgent Care Clinic/Center
- Lawton, OK
- NPI 1891027371
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1558431577
-
- Emergency Medicine Physician
- Durant, OK
- NPI 1184662983
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1861668766
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1922051440
-
- Hospitalist Physician
- Savannah, GA
- NPI 1659600963
-
- Physician Assistant
- Texarkana, TX
- NPI 1558314062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1104833201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 NW 67TH ST",
"address_2": "SUITE E",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055630",
"telephone_number": "580-536-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NW 67TH ST",
"address_2": "SUITE E",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055630",
"telephone_number": "580-536-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAROSA",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "21197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.