Individual provider Active NPI

Timothy J Siegfried, DPM

  • Foot & Ankle Surgery Podiatrist
  • Owasso, OK
National Provider Identifier
1164536256
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
200 Issued in OK
Practice address
10229 E 96TH St N Suite 100
Owasso, OK 74055
Phone
(918) 272-8920
Fax
(918) 272-8922
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 200 OK Primary

Addresses

Primary practice location

10229 E 96TH St N Suite 100
Owasso, OK 74055

Mailing address

701 W. Elgin St
Broken Arrow, OK 74012
Phone (918) 455-2001

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000151 OK Practitioner - Podiatry 2062324353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Tulsa Foot and Ankle Specialist PLLCGroup PAC ID 1759293046, 11 clinicians

Practice addresses (Care Compare)

10229 E 96TH St N
Suite 100
Owasso, OK 74055-5322
Phone 91849429021007

Hospital & facility affiliations

  • Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions41
Removal of nail tissue346
Removal or shaving of skin growth218
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Tulsa Foot & Ankle Specialist PLLC Foot & Ankle Surgery CurrentSince Mar 1, 1999 Accepting new patients
Metro Tulsa Foot & Ankle Specialist PLLC Foot & Ankle Surgery CurrentSince Mar 1, 1999 Accepting new patients

Locations

701 W Elgin St
Broken Arrow, OK 74012
Phone (918) 455-2001

421 W Washington St
Broken Arrow, OK 74012
Phone (918) 455-2001

10229 E 96th St N
Ste 100
Owasso, OK 74055
Phone (918) 272-8920

11215 N Garnett Rd
Ste C
Owasso, OK 74055
Phone (918) 371-7719

5711 E 71st St
Ste 115
Tulsa, OK 74136
Phone (918) 294-3668

5711 E 71st St
Ste 220
Tulsa, OK 74136

Interoperability endpoints

  • Direct secure messaging: timothy.siegfried@direct.stjohnhealthsystem.com

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1164536256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W. ELGIN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-455-2001",
            "fax_number": "918-301-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10229 E 96TH ST N SUITE 100",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-272-8920",
            "fax_number": "918-272-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-11-29",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.