Raymond Michael Siatkowski, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

21138 Issued in OK

Practice address

608 Stanton L Young Blvd
Oklahoma City, OK 73104

Phone

(405) 271-1094

NPI assigned

Mar 16, 2006

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dean McGee Eye InstituteGroup PAC ID 3779495353, 41 clinicians

Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.78 of 100Reported as group

Quality

73.92

Promoting interoperability

100

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.siatkowski.1@17619.direct.athenahealth.com
• Direct secure messaging: msiatkowski@directdmei.org
• Direct secure messaging: rsiatkowski56344@ouhealth.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dean McGee Eye Institute

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1245209675
  Medicare reassignment Care Compare group NPD
• Ou Health Partners, Inc

  dba Ou Health Partners

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment Care Compare group NPD (past)
• University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1477623700
  Medicare reassignment NPD
• Dean McGee Eye Institute

  • Optometrist
  • Lawton, OK
  • NPI 1710103395
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• McGee Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
  • NPI 1295766202
  NPD (past)
• University of Miami

  dba UMiami Medicine - Ophthalmology (NAPLES)

  • Ophthalmology Physician
  • Miami, FL
  • NPI 1073550398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1164491593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIATKOWSKI",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "21138",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "OK",
            "license": "21138",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OK",
            "license": "21138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msiatkowski@directdmei.org",
            "affiliation": "N",
            "address_1": "608 Stanton L Young Blvd",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitsie Shurtz, M.S., CCC-SLP
• Tiffany Lynn Shurtz, LD
• Christopher Michael Shy, PA-C
• Kamilah Shy, MD
• Shyler D. Vincent, DDS , Professional Dentistry, PC
• Rhea L Siatkowski, M.D.
• Siavash Nael MD Inc (Neuropsychiatric Center)
• Sneha Sibimon
• Kelly Sicard
• Sid Kramer, LSW PC

• Pediatric Ophthalmology and Strabismus Specialist Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.