Active NPI
Rylan Neal Russell, DO
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7664
- Practice address
- 744 W 9TH St
Tulsa, OK 74127-9907 - Phone
- (918) 599-4678
- NPI assigned
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 7664 | OK | Primary |
Addresses
Primary practice location
744 W 9TH St
Tulsa, OK 74127-9907
Mailing address
206 S 12TH St
Barling, AR 72923-2503
Phone (580) 660-0061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-6987
1027 E Cherry St
Cushing, OK 74023-4101
Phone (918) 225-2915
Hospital & facility affiliations
- Lawton Indian Hospital
- McAlester Regional Health Center
- Eastern Oklahoma Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.83 of 100
- Quality
- 81.24
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7664 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Green Country Emergency Physicians Group of Tulsa PLLC | Emergency Medicine | Current | Accepting new patients |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| McAlester Regional Health Center Authority | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Leflore County Hospital Authority | Past | Accepting new patients |
Locations
1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
3391 S I 35 Service Rd
Moore, OK 73160
Phone (405) 500-3330
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
105 Wall St
Poteau, OK 74953
Phone (918) 635-3100
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Dept 1038
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Dept 1467
Tulsa, OK 74182
Interoperability endpoints
- rrussell838418@ahs.direct-ci.com
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
-
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Emergency Medicine Physician
- McAlester, OK
- NPI 1326509407
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1033511480
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Critical Access Hospital
- Poteau, OK
- NPI 1396767158
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
-
- Psychiatric Hospital Unit
- Poteau, OK
- NPI 1184997447
-
- Critical Access Hospital
- Poteau, OK
- NPI 1396767158
-
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1225614746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S 12TH ST",
"city": "BARLING",
"state": "AR",
"postal_code": "729232503",
"telephone_number": "580-660-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W 9TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741279907",
"telephone_number": "918-599-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "RYLAN",
"middle_name": "NEAL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "7664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.