Individual provider Active NPI

John Goetzinger, M.D.

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1174979942
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
32348 Issued in OK
Practice address
6516 N Olie Ave Ste G
Oklahoma City, OK 73116-7399
Phone
(405) 608-8060
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 32348 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6516 N Olie Ave Ste G
Oklahoma City, OK 73116-7399

Mailing address

6516 N Olie Ave Ste G
Oklahoma City, OK 73116-7399
Phone (405) 608-8060

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
I20210610001077 OK Practitioner - Rheumatology 1850791013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Health Services LLCGroup PAC ID 7214314111, 15 clinicians

Practice addresses (Care Compare)

6516 N Olie Ave
Suite G
Oklahoma City, OK 73116-7399
Phone (405) 608-8060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32348OKMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health Services LLC Rheumatology CurrentSince Apr 1, 2022 Accepting new patients
The Physicians Group LLC CurrentSince Jul 31, 2021 Accepting new patients
Saints Medical Group, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060

7336 N Classen Blvd
Ste 200
Oklahoma City, OK 73116
Phone (405) 285-8823

7336 N Classen Blvd
Ste 100
Oklahoma City, OK 73116
Phone (405) 608-8060

501 SW 149th St
Ste A
Oklahoma City, OK 73170

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

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 7

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1174979942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE STE G",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167399",
            "telephone_number": "405-608-8060",
            "fax_number": "405-608-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE STE G",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167399",
            "telephone_number": "405-608-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZINGER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "32348",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.