Individual provider Active NPI

Steve Bryan Skarky, M.D.

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1225145378
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23464 Issued in OK
Practice address
12301 N Western Ave Ste 105
Oklahoma City, OK 73114-8017
Phone
(405) 286-9090
Fax
(405) 962-8125
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23464 OK Primary

Addresses

Primary practice location

12301 N Western Ave Ste 105
Oklahoma City, OK 73114-8017

Mailing address

12301 N Western Ave Ste 105
Oklahoma City, OK 73114-8017
Phone (405) 286-9090

Other identifiers 1

IdentifierTypeStateIssuer
200076290BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 1, 2017 through Nov 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew W. Ford, DC, PC Past Accepting new patients

Organizations & group practices 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1225145378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 N WESTERN AVE STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148017",
            "telephone_number": "405-286-9090",
            "fax_number": "405-848-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 N WESTERN AVE STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148017",
            "telephone_number": "405-286-9090",
            "fax_number": "405-962-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARKY",
        "first_name": "STEVE",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "23464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200076290B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.