NPIMap

Individual provider Active NPI

Ryan J Reynolds, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1114459278
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7541 Issued in OK
Practice address
2416 W 51St St
Tulsa, OK 74107-7700
Phone
(713) 816-2522
Fax
(918) 298-1088
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7541 OK Primary
Hospitalist Physician 208M00000X 7541 OK

Addresses

Primary practice location

2416 W 51St St
Tulsa, OK 74107-7700

Mailing address

PO Box 701743
Tulsa, OK 74170-1743
Phone (713) 816-2522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708000238 OK Practitioner - Internal Medicine 9537585989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

11462 S Union Ave
F Xpress Wellness Urgent Care
Jenks, OK 74037-6901
Phone (918) 518-0220

2416 W 51St St
Tulsa, OK 74107-7700
Phone (918) 446-4284

2525 Chandler Rd
Muskogee, OK 74403-5088
Phone (918) 681-7533

7127 S Olympia Ave
Xpress Wellness Urgent Care
Tulsa, OK 74132-1856
Phone (918) 665-9500

Hospital & facility affiliations

  • Truheart Hospice LLC Hospice, Tulsa, OK, CCN 371739
  • Live Well Hospice, LLC Hospice, Bixby, OK, CCN 371608
  • Cura-HPC Edmond Hospice, Oklahoma City, OK, CCN 371728
  • Suncrest Hospice Hospice, Tulsa, OK, CCN 371729
  • Sherwood Manor Nursing Home Nursing home, Tulsa, OK, CCN 375556
  • Countryside Estates Nursing home, Warner, OK, CCN 375341
  • Ignite Medical Resort Tulsa, LLC Nursing home, Tulsa, OK, CCN 375581
  • Riverside Health Services Nursing home, Arkoma, OK, CCN 375371
  • Bradbury Commons Nursing home, Ponca City, OK, CCN 375521

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jul 8, 2024 Accepting new patients
Confortamini in Sacrificio Tuo LLC Internal Medicine CurrentSince May 16, 2024 Accepting new patients
Live Well Hospice Current Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jul 8, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
KMF Medical Group PastSince Jun 1, 2024 Accepting new patients
Sherwood Health Services LLC Past Accepting new patients
Franciscan Villa LLC Past Accepting new patients
Riverside Health Services LLC Past Accepting new patients
Cearu, LLC Past Accepting new patients
Countryside Health Services, LLC Past Accepting new patients
Parks Edge Care Center Inc Past Accepting new patients

Locations

411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

2416 W 51st St
Tulsa, OK 74107
Phone (918) 446-4284

Interoperability endpoints

  • Direct secure messaging: ryan.reynolds.1@26327.direct.athenahealth.com
  • Direct secure messaging: ccfgroup.ryanreynolds@162329.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Countryside EstatesWarner, OK, CCN 375341 Skilled nursing facility Adp of the SNF Dec 3, 2025
Sherwood Manor Nursing HomeTulsa, OK, CCN 375556 Skilled nursing facility Adp of the SNF Jun 18, 2025
Ignite Medical Resort Tulsa, LLCTulsa, OK, CCN 375581 Skilled nursing facility Adp of the SNF Feb 1, 2025
Sapulpa Nursing CenterSapulpa, OK, CCN 375585 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2025
Sep 1, 2025
Bradbury CommonsPonca City, OK, CCN 375521 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2025
Oct 1, 2025
Live Well HospiceBixby, OK, CCN 371608 Hospice Contracted Managing Employee Feb 26, 2025
Cura-HPC EdmondOklahoma City, OK, CCN 371728 Hospice Contracted Managing Employee Dec 18, 2025

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 9

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1114459278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701743",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741701743",
            "telephone_number": "713-816-2522",
            "fax_number": "918-298-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 W 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741077700",
            "telephone_number": "713-816-2522",
            "fax_number": "918-298-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "7541",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "7541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.