Individual provider Active NPI

Douglas B Kliewer, M. D.

  • Gastroenterology Physician
  • Tulsa, OK
National Provider Identifier
1174518906
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20114 Issued in OK
Practice address
6465 S Yale Ave
Suite 1002
Tulsa, OK 74136-7812
Phone
(918) 481-4706
Fax
(918) 481-4765
NPI assigned
Sep 19, 2005
Last updated
Mar 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20114 OK Primary

Addresses

Primary practice location

6465 S Yale Ave
Suite 1002
Tulsa, OK 74136-7812

Mailing address

PO Box 305
Lowell, AR 72745-0305
Phone (918) 481-4706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100927000055 OK Practitioner - Internal MedicinePractitioner - Gastroenterology 9335127257 Reassigns benefits to 3 organizations
I20230308000063 TX Practitioner - Internal MedicinePractitioner - Gastroenterology 9335127257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Adult Gastroenterology Associates IncGroup PAC ID 0840223921, 15 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1101 S Belmont Ave
Okmulgee, OK 74447-6315

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 438-7050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
75.14
Promoting interoperability
98
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Nov 25, 2022 Accepting new patients
Adult Gastroenterology Associates Inc Gastroenterology CurrentSince Aug 1, 1997 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics Gastroenterology CurrentSince Oct 30, 2022 Accepting new patients
Stillwater Medical Center Authority CurrentSince Aug 1, 2018 Accepting new patients
Creek Nation Hospital & Clinics Gastroenterology CurrentSince Dec 13, 2022 Accepting new patients
Stillwater Medical Center Authority Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Nov 25, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 30, 2022 Accepting new patients
Cherokee Nation Past Accepting new patients
Cherokee Nation Past Accepting new patients

Locations

4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050

6465 S Yale Ave
Ste 1002
Tulsa, OK 74136
Phone (918) 481-4700

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 13

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.

View all 13

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1174518906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450305",
            "telephone_number": "918-481-4706",
            "fax_number": "918-481-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "SUITE 1002",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367812",
            "telephone_number": "918-481-4706",
            "fax_number": "918-481-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEWER",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "20114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.