NPIMap

Individual provider Active NPI

Bobby Ray Abernathy, D.O.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1114289659
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5342 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9020
Phone
(918) 599-1000
NPI assigned
Jun 11, 2012
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5342 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

744 W 9TH St
Tulsa, OK 74127-9020

Mailing address

2744 W 66TH St
Tulsa, OK 74132-1399
Phone (405) 639-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000107 OK Practitioner - Emergency Medicine 7113161555 Reassigns benefits to 4 organizations
I20160705000451 TX Practitioner - Emergency Medicine 7113161555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

140 W 151St St S
Glenpool, OK 74033-4523
Phone (918) 321-7000

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

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
5342OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Oklahoma State University Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 14, 2024 Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2024 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Dec 7, 2025 Accepting new patients
Oklahoma State University Current Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

140 W 151st St S
Glenpool, OK 74033
Phone (918) 321-7000

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

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

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

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

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

Dept 2563
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: babernathy325784@ahs.direct-ci.com
  • Direct secure messaging: babernathy82106@direct.saintfrancis.com
  • Direct secure messaging: bobby.abernathy.1@23846.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1114289659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 W 66TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321399",
            "telephone_number": "405-639-0053"
        },
        {
            "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": "741279020",
            "telephone_number": "918-599-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "BOBBY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5342",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.