Individual provider Active NPI

Charles Groves, M.D.

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1255588448
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P2659 Issued in TX
Practice address
3433 NW 56TH St. Suite C-40
Oklahoma City, OK 73112-4455
Phone
(405) 945-4741
Fax
(888) 972-5320
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P2659 TX Primary

Addresses

Primary practice location

3433 NW 56TH St. Suite C-40
Oklahoma City, OK 73112-4455

Mailing address

3433 NW 56TH St. Suite C-40
Oklahoma City, OK 73112-4455
Phone (405) 945-4741

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
I20130703000352 OK Practitioner - Diagnostic Radiology 4981860301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 4082692496, 20 clinicians

Practice addresses (Care Compare)

11200 N Portland Ave
Oklahoma City, OK 73120-5045
Phone (405) 936-1500

1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 606-6937

3525 NW 56TH St
Suite 100C
Oklahoma City, OK 73112-4549
Phone (405) 945-0045

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 657-3000

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Merit-based Incentive Payment System (MIPS)

Final score
65.61 of 100Reported as group
Quality
55.21
Improvement activities
40
Cost
67.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2659TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Integris Prohealth Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

3330 NW 56th St
Ste 206
Oklahoma City, OK 73112
Phone (405) 945-4710

Dept 960591
Oklahoma City, OK 73196

3433 NW 56th St
Ste C40
Oklahoma City, OK 73112

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

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 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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1255588448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST. SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST. SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.