Individual provider Active NPI

Alan Marshall Hawxby, MD

  • Transplant Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1225047145
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
28113 Issued in OK
Practice address
940 N. E. 13TH Street
Suite 3000
Oklahoma City, OK 73104-5099
Phone
(405) 271-7498
Fax
(405) 271-4328
NPI assigned
Aug 7, 2006
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 19667 MS
Transplant Surgery Physician 204F00000X DR.0068875 CO
Surgery Physician 208600000X 26012 AL
Transplant Surgery Physician 204F00000X 28113 OK Primary

Addresses

Primary practice location

940 N. E. 13TH Street
Suite 3000
Oklahoma City, OK 73104-5099

Mailing address

4900 S. Monaco St
#210
Denver, CO 80237-3486
Phone (405) 271-7498

Other identifiers 3

IdentifierTypeStateIssuer
009955315MedicaidAL
200314170AMedicaidOK
009955185MedicaidAL

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
I20110330000818 OK Practitioner - General SurgeryPractitioner - Internal Medicine 7517945991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26012ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
St. John Physicians, Inc CurrentSince Jan 6, 2025 Accepting new patients
University Surgery Associates, PLLC Surgery Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients

Locations

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

2000 S Wheeling Ave
Ste 1100
Tulsa, OK 74104
Phone (918) 712-8111

Interoperability endpoints

  • Direct secure messaging: ahawxby1865595@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1225047145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S. MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "405-271-7498",
            "fax_number": "405-271-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N. E. 13TH STREET",
            "address_2": "SUITE 3000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045099",
            "telephone_number": "405-271-7498",
            "fax_number": "405-271-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWXBY",
        "first_name": "ALAN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MS",
            "license": "19667",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CO",
            "license": "DR.0068875",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "26012",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "OK",
            "license": "28113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009955315",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200314170A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009955185",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.