Individual provider Active NPI

Kalin Thomas Heaton, PA

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1124791066
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411
Phone
(405) 218-2530
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411

Mailing address

18001 Highland Park Rd Apt 208
Edmond, OK 73012-5002
Phone (801) 822-6317

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001531 OK Practitioner - Physician Assistant 8527450279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care of Oklahoma, Inc.Group PAC ID 6709771207, 46 clinicians
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7278

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc CurrentSince Apr 1, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Apr 1, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

Interoperability endpoints

  • Direct secure messaging: kheaton406777@direct-ehr-ssmhc.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.

Hospital & facility affiliations 2

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1124791066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 HIGHLAND PARK RD APT 208",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125002",
            "telephone_number": "801-822-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141411",
            "telephone_number": "405-218-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "KALIN",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.