NPIMap

Individual provider Active NPI

William R Grubb, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1164582375
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10720 Issued in OK
Practice address
1919 S Wheeling Ave Ste 710
Tulsa, OK 74104-5636
Phone
(918) 756-7110
Fax
(918) 742-7332
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10720 OK Primary

Addresses

Primary practice location

1919 S Wheeling Ave Ste 710
Tulsa, OK 74104-5636

Mailing address

1919 S Wheeling Ave Ste 710
Tulsa, OK 74104-5636
Phone (918) 756-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000824 OK Practitioner - Internal Medicine 1658566518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 S Wheeling Ave
Suite 710
Tulsa, OK 74104-5636
Phone (918) 742-7331

Hospital & facility affiliations

  • Enhabit Home Health of Eastern Oklahoma Home health agency, Muskogee, OK, CCN 377643
  • Mays Home Health of NC Ok Home health agency, Okmulgee, OK, CCN 377273
  • Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057
  • Hillcrest Hospital Henryetta Hospital, Henryetta, OK, CCN 370183
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10720OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William R Grubb MD Inc Internal Medicine CurrentSince Dec 1, 2013 Accepting new patients
Okmulgee Memorial Hospital, Inc Past Accepting new patients
St. John Physicians, Inc PastSince Dec 1, 2013 Accepting new patients
Omh Home Health Past Accepting new patients

Locations

211 N Grand Ave
Okmulgee, OK 74447
Phone (918) 756-3231

1919 S Wheeling Ave
Ste 710
Tulsa, OK 74104
Phone (918) 742-7331

1705 E 19th St
Ste 400
Tulsa, OK 74104
Phone (918) 742-5964

Organizations & group practices 4

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 10

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1164582375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 710",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045636",
            "telephone_number": "918-756-7110",
            "fax_number": "918-742-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 710",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045636",
            "telephone_number": "918-756-7110",
            "fax_number": "918-742-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.