Individual provider Active NPI

Jason Matthew Leinen, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1124167242
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25158 Issued in OK
Practice address
3110 SW 89TH St Ste 102C
Oklahoma City, OK 73159
Phone
(405) 703-3611
Fax
(405) 703-3711
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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 25158 OK Primary

Addresses

Primary practice location

3110 SW 89TH St Ste 102C
Oklahoma City, OK 73159

Mailing address

3110 SW 89TH St Ste 102C
Oklahoma City, OK 73159-7920
Phone (405) 703-3611

Other practice location 1

3115 SW 89th St
Oklahoma City, OK 73159
Phone (405) 600-1411

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
I20080428000525 OK Practitioner - Sports MedicinePractitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Other (Physician) 1355429655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians
Elite Pain Solutions LLCGroup PAC ID 5991985681, 2 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

3110 SW 89TH St
Oklahoma City, OK 73159-7919

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Family Medicine CurrentSince Apr 26, 2011 Accepting new patients
Hpi Physicians LLC Family Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients
Washita Emergency Physicians LLC Past Accepting new patients
Hughes Emergency Physicians Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Community Hospital LLC Past Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

3110 SW 89th St
Ste 102C
Oklahoma City, OK 73159
Phone (405) 703-3611

3115 SW 89th St
Oklahoma City, OK 73159
Phone (405) 424-5630

3110 SW 89th St
Ste 102
Oklahoma City, OK 73159
Phone (405) 703-4950

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

Interoperability endpoints

  • Direct secure messaging: jasonleinen@okss.allscriptsdirect.net

Organizations & group practices 8

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 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1124167242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST STE 102C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597920",
            "telephone_number": "405-703-3611",
            "fax_number": "405-703-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST STE 102C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73159",
            "telephone_number": "405-703-3611",
            "fax_number": "405-703-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73159",
            "country_code": "US",
            "telephone_number": "405-600-1411",
            "fax_number": "405-600-1534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEINEN",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.