Individual provider Active NPI

Alexander C Roby, D.O.

  • Family Medicine Physician
  • Glenpool, OK
National Provider Identifier
1144585639
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5271 Issued in OK
Practice address
140 W 151St St S Ste 202
Glenpool, OK 74033-4530
Phone
(918) 321-7400
Fax
(918) 321-7415
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 5271 OK Primary

Addresses

Primary practice location

140 W 151St St S Ste 202
Glenpool, OK 74033-4530

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

1401 E Van Buren Ave
McAlester, OK 74501-4245
Phone (918) 421-8440

Other names 1

  • Dr. Alex Roby Other name

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
I20121015000465 OK Practitioner - Family PracticePractitioner - Emergency Medicine 2567612278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
Warren Clinic Inc CurrentSince Sep 5, 2023 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Aug 1, 2012 Accepting new patients
Red River Medical Services Current Accepting new patients
Saint Francis Hospital South LLC Past Accepting new patients
Texoma ER LLC PastSince Mar 1, 2020 Accepting new patients

Locations

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

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

140 W 151st St S
Ste 202
Glenpool, OK 74033
Phone (918) 321-7400

1401 E Van Buren Ave
McAlester, OK 74501
Phone (918) 421-8440

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Interoperability endpoints

  • Direct secure messaging: aroby297633@direct.saintfrancis.com

Organizations & group practices 6

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 5

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1144585639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 151ST ST S STE 202",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740334530",
            "telephone_number": "918-321-7400",
            "fax_number": "918-321-7415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E Van Buren Ave",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014245",
            "country_code": "US",
            "telephone_number": "918-421-8440",
            "fax_number": "918-421-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBY",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "ROBY",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenpool, OK

Sources for this page

Verify at the official NPI Registry.