Individual provider Active NPI

James Lawrence Fleckenstein, M.D.

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1245280312
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23288 Issued in OK
Practice address
11436 S Louisville PL
Tulsa, OK 74137-1647
Phone
(918) 523-7226
Fax
(918) 518-5136
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 23288 OK
Diagnostic Radiology Physician 2085R0202X 23288 OK Primary

Addresses

Primary practice location

11436 S Louisville PL
Tulsa, OK 74137-1647

Mailing address

11436 S Louisville PL
Tulsa, OK 74137-1647
Phone (918) 523-7226

Other identifiers 1

IdentifierTypeStateIssuer
200014870AMedicaidOK

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
I20041027000488 OK Practitioner - Diagnostic Radiology 6507828134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23288OKMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Powers Radiology, PC Neuroradiology Past Accepting new patients

Locations

908 N Rockford Rd
Ste C
Ardmore, OK 73401
Phone (580) 223-7226

3509 French Park Dr
Ste E
Edmond, OK 73034
Phone (405) 285-6901

3400 W Hefner Rd
Oklahoma City, OK 73120
Phone (405) 418-0900

7712 S Yale Ave
Ste 120
Tulsa, OK 74136
Phone (918) 523-7226

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1245280312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11436 S LOUISVILLE PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371647",
            "telephone_number": "918-523-7226",
            "fax_number": "918-518-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11436 S LOUISVILLE PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371647",
            "telephone_number": "918-523-7226",
            "fax_number": "918-518-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECKENSTEIN",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OK",
            "license": "23288",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "23288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.