Individual provider Active NPI

Kyle Travis Jones, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1164603262
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4578 Issued in OK
Practice address
7600 S Lewis Ave
Tulsa, OK 74136-6836
Phone
(918) 493-7800
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 4578 OK Primary

Addresses

Primary practice location

7600 S Lewis Ave
Tulsa, OK 74136-6836

Mailing address

PO Box 659506
Section 4142
San Antonio, TX 78265-6836
Phone (918) 251-2273

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
I20080410000413 OK Practitioner - Family PracticePractitioner - Emergency Medicine 9133206485 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates, LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Centennial Health, PC Family Medicine CurrentSince Jun 28, 2021 Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

817 S Elm Pl
Ste A
Broken Arrow, OK 74012
Phone (918) 251-2273

817 S Elm Pl
Broken Arrow, OK 74012
Phone (918) 251-2273

225 Lilac Dr
Ste 200
Edmond, OK 73034
Phone (405) 330-7000

701 NE 10th St
Oklahoma City, OK 73104
Phone (405) 232-8003

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1164603262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "address_2": "SECTION 4142",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782656836",
            "telephone_number": "918-251-2273",
            "fax_number": "405-280-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366836",
            "telephone_number": "918-493-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLE",
        "middle_name": "TRAVIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.