Individual provider Active NPI

Kevin Sue Weibel, D.O.

  • Hematology & Oncology Physician
  • Tulsa, OK
National Provider Identifier
1104864016
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2559 Issued in OK
Practice address
12697 E 51St St
Tulsa, OK 74146-6236
Phone
(918) 505-3200
Fax
(918) 505-3253
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2559 OK Primary

Addresses

Primary practice location

12697 E 51St St
Tulsa, OK 74146-6236

Mailing address

12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200

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
I20100114000527 OK Practitioner - Hematology/Oncology 1052329356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.61 of 100Reported as individual
Quality
81.66
Promoting interoperability
99
Improvement activities
40

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Feb 18, 2017 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Current Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Hematology & Oncology CurrentSince Feb 10, 2015 Accepting new patients
Stillwater Medical Center Authority CurrentSince Feb 18, 2017 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Feb 10, 2015 Accepting new patients

Locations

901 N Strong Blvd
McAlester, OK 74501
Phone (918) 426-0625

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

Interoperability endpoints

  • Direct secure messaging: kevin.weibel@direct.stjohnhealthsystem.com
  • Direct secure messaging: kweibel277082@ahs.direct-ci.com
  • Direct secure messaging: kevin.weibel.p1@direct.smc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1104864016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200",
            "fax_number": "918-505-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200",
            "fax_number": "918-505-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIBEL",
        "first_name": "KEVIN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.