Individual provider Active NPI

Robert Ethel, M.D., MBS

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1235592452
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33138 Issued in OK
Practice address
13321 N Meridian Ave Ste 402
Oklahoma City, OK 73120-8316
Phone
(405) 808-9669
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 30327 MS
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 33138 OK Primary

Addresses

Primary practice location

13321 N Meridian Ave Ste 402
Oklahoma City, OK 73120-8316

Mailing address

13321 N Meridian Ave Ste 402
Oklahoma City, OK 73120-8316
Phone (405) 808-9669

Other practice location 1

301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-6018

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
I20240702002630 OK Practitioner - Anesthesiology 7618411570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpi Physicians LLCGroup PAC ID 6406048289, 48 clinicians
Affiliated Anesthesiologists, LLCGroup PAC ID 4688701204, 49 clinicians

Practice addresses (Care Compare)

1705 S Renaissance Blvd
Suite 120
Edmond, OK 73013-3043
Phone (405) 715-4496

4300 W Memorial Rd
Mercy Health Center Inc
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

9800 Broadway Ext
Suite 204
Oklahoma City, OK 73114-6303
Phone (405) 419-5926

Hospital & facility affiliations

  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Northwest Surgical Hospital Hospital, Oklahoma City, OK, CCN 370192
  • Oklahoma Spine Hospital Hospital, Oklahoma City, OK, CCN 370206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30327MSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Anesthesiologists, LLC Anesthesiology CurrentSince Apr 25, 2024 Accepting new patients
Hpi Physicians LLC CurrentSince Dec 24, 2025 Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4317 W Memorial Rd
Oklahoma City, OK 73134
Phone (405) 755-6240

13321 N Meridian Ave
Ste 402
Oklahoma City, OK 73120
Phone (405) 755-1080

Dept 960431
Oklahoma City, OK 73196

Interoperability endpoints

  • Direct secure messaging: rethel91384@direct.phhs.org

Organizations & group practices 2

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 4

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1235592452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13321 N MERIDIAN AVE STE 402",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208316",
            "telephone_number": "405-808-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13321 N MERIDIAN AVE STE 402",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208316",
            "telephone_number": "405-808-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-6018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETHEL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D., MBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "30327",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "33138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.