Randy Blake Patterson, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

31329 Issued in OK

Practice address

1831 E 71St St
Tulsa, OK 74136-3922

Phone

(877) 866-7123

NPI assigned

Jul 10, 2015

Last updated

May 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, FL, TX3 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 3

Specialty

General Surgery

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Term Care Specialists, IncGroup PAC ID 3476550740, 37 clinicians

Royal Charter Medical LLCGroup PAC ID 8325560816, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Accelerate Health Capital LLC

  dba Accelerate Wound Care

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1528810058
  Medicare reassignment NPD Authorized official
• Long Term Care Specialists, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1497761159
  Medicare reassignment Care Compare group NPD
• Royal Charter Medical LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1023814191
  Medicare reassignment Care Compare group NPD
• Value Based Long Term Care J PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1932931474

  OK

  Medicare reassignment NPD
• I V League LLC

  dba Innovative Vascular Access

  • Vascular Surgery Physician
  • Oklahoma City, OK
  • NPI 1962378281
  NPD Authorized official
• Patterson Surgical Arts PLLC

  • Surgery Physician
  • Edmond, OK
  • NPI 1922973213
  NPD Authorized official
• Verdure Health Services

  • Family Medicine Physician
  • Irving, TX
  • NPI 1801495940
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1194109066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 HUNTINGTON AVE",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166213",
            "telephone_number": "405-473-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363922",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4117 NW 122nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208890",
            "country_code": "US",
            "telephone_number": "405-928-6233",
            "fax_number": "405-694-4104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Woodard St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750203136",
            "country_code": "US",
            "telephone_number": "469-868-4233",
            "fax_number": "469-868-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "RANDY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "31329",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "31329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Patterson, BA
• Lauren Marie Patterson, BS
• Lindsay A Patterson, PHD
• Marlene Marie Patterson
• Randall Patterson, D.PH.
• Arisara Patthawaro
• Judith Pattinson, DPH
• Ingrid Patton, APRN CNP CNS
• Matthew R Patton, PA
• Paige Patton

• General Practice Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.