Individual provider Active NPI

Steven Leroy Dill, MD

  • Family Medicine Physician
  • Pryor, OK
National Provider Identifier
1104854876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18074 Issued in OK
Practice address
109 N Fairland St
Suite 109
Pryor, OK 74361-4203
Phone
(918) 825-3107
Fax
(918) 825-3128
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18074 OK Primary

Addresses

Primary practice location

109 N Fairland St
Suite 109
Pryor, OK 74361-4203

Mailing address

109 N Fairland St
Suite 109
Pryor, OK 74361-4203
Phone (918) 825-3107

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
I20100831000842 OK Practitioner - Family Practice 3072637875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1302 NE 1St St
Pryor, OK 74361-0749
Phone (918) 825-3107

Hospital & facility affiliations

  • Via Life Home Health Care Home health agency, Pryor, OK, CCN 377689
  • Vialife Hospice LLC Hospice, Pryor, OK, CCN 371720
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18071OKMDPharmacist
18074OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S Bar D, Inc. Family Medicine CurrentSince Jul 25, 2010 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

109 N Fairland St
Ste 109
Pryor, OK 74361
Phone (918) 825-3107

1302 NE 1st St
Pryor, OK 74361
Phone (918) 825-3107

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 6

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104854876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST",
            "address_2": "SUITE 109",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614203",
            "telephone_number": "918-825-3107",
            "fax_number": "918-825-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST",
            "address_2": "SUITE 109",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614203",
            "telephone_number": "918-825-3107",
            "fax_number": "918-825-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "STEVEN",
        "middle_name": "LEROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

Verify at the official NPI Registry.