Active NPI
Michael Greg Scott, M.D.
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1245399138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18422
- Practice address
- 550 S. Peoria Avenue
Tulsa, OK 74120-3825 - Phone
- (918) 588-1900
- Fax
- (918) 582-6405
- NPI assigned
- Dec 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18422 | OK | Primary |
Addresses
Primary practice location
550 S. Peoria Avenue
Tulsa, OK 74120-3825
Mailing address
550 S. Peoria Avenue
Tulsa, OK 74120-3825
Phone (918) 588-1900
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100732910-G | Other | OK | GROUP MEDICAID/SOONERCARE |
| 73-1042545 | Other | OK | GROUP MEDICARE |
| 73-1042545 | Other | OK | GROUP BCBS |
| 100199580A | Medicaid | OK | |
| 73-1042545 | Other | OK | GROUP COMMUNITY CARE OF OKLAHOMA |
| 100732910-A | Other | OK | GROUP MEDICAID/SOONERCARE |
| 731042545001 | Other | OK | GROUP TRICARE |
| 1118422 | Medicaid | OK |
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
- Family Practice
- Education
- West Virginia University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 S Peoria Ave
Tulsa, OK 74120-3820
Phone (918) 382-1207
Hospital & facility affiliations
- Ascension St John Jane Phillips
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18422 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Care Resource Center | Current | Accepting new patients | |
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients |
Locations
550 S Peoria Ave
Tulsa, OK 74120
Phone (918) 382-1207
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.
-
- Pharmacy
- Tulsa, OK
- NPI 1457447609
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1245399138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S. PEORIA AVENUE",
"city": "TULSA",
"state": "OK",
"postal_code": "741203825",
"telephone_number": "918-588-1900",
"fax_number": "918-582-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S. PEORIA AVENUE",
"city": "TULSA",
"state": "OK",
"postal_code": "741203825",
"telephone_number": "918-588-1900",
"fax_number": "918-582-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MICHAEL",
"middle_name": "GREG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "18422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID/SOONERCARE",
"identifier": "100732910-G",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "73-1042545",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS",
"identifier": "73-1042545",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100199580A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP COMMUNITY CARE OF OKLAHOMA",
"identifier": "73-1042545",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID/SOONERCARE",
"identifier": "100732910-A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TRICARE",
"identifier": "731042545001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1118422",
"state": "OK"
}
],
"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 16, 2015; 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.