Individual provider Active NPI

Vincent Sami Petros, DO

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1134539729
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6473 Issued in OK
Practice address
800 Stanton L Young Blvd # Wp1345
Oklahoma City, OK 73104-5018
Phone
(405) 271-5428
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R2198 TX
Gastroenterology Physician 207RG0100X 6473 OK Primary
Internal Medicine Physician 207R00000X BP10050269 TX

Addresses

Primary practice location

800 Stanton L Young Blvd # Wp1345
Oklahoma City, OK 73104-5018

Mailing address

3101 W Tecumseh Rd
Ste 101
Norman, OK 73072-1816
Phone (405) 271-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170502001445 TX Practitioner - Internal Medicine 5294012191 Reassigns benefits to 1 organization
I20210713001067 OK Practitioner - Gastroenterology 5294012191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

3101 W Tecumseh Rd
101 Gi of Norman
Norman, OK 73072-1816
Phone (405) 515-2777

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy339
Upper gastrointestinal (GI) endoscopy for acid reflux349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050269TXMDInternal Medicine Physician
6473OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Apr 13, 2017 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Jul 31, 2021 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

700 S Telephone Rd
Ste 300
Moore, OK 73160

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

1125 N Porter Ave
Ste 304
Norman, OK 73071
Phone (405) 360-2799

1125 N Porter Ave
Ste 301
Norman, OK 73071
Phone (405) 360-2777

3101 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 360-2777

2000 Ann Branden Blvd
Ste 202
Norman, OK 73071
Phone (405) 253-1850

3101 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 364-5900

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • Direct secure messaging: vincent.petros@nrh.eclinicaldirectplus.com

Organizations & group practices 3

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1134539729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W TECUMSEH RD",
            "address_2": "STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721816",
            "telephone_number": "405-271-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD # WP1345",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROS",
        "first_name": "VINCENT",
        "middle_name": "SAMI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R2198",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "6473",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.