Individual provider Active NPI

Rylan Neal Russell, DO

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1225614746
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7664 Issued in OK
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

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230208002729 OK Practitioner - Emergency Medicine 1355727801 Reassigns benefits to 6 organizations
I20230209000161 TX Practitioner - Emergency Medicine 1355727801 Reassigns benefits to 2 organizations

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
McAlester Regional Health Center AuthorityGroup PAC ID 6709796436, 46 clinicians
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

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 Hospital, Lawton, OK, CCN 370170
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
81.24
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
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

LicenseStateTypeSpecialty
7664OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Sep 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 14, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 23, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 23, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 23, 2022 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jul 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.