Active NPI
Dustin Allen Thompson, DO
- Family Medicine Physician
- Durant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6780
- Practice address
- 1600 W University Blvd
Durant, OK 74701-3094 - Phone
- (580) 924-5500
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6780 | OK | Primary |
| Emergency Medicine Physician | 207P00000X | 6780 | OK |
Addresses
Primary practice location
1600 W University Blvd
Durant, OK 74701-3094
Mailing address
1600 W University Blvd
Durant, OK 74701-3094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200852000A | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191022003381 | OK | Practitioner - Family Practice | 4284977034 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 E 13TH St
Integris Express Care Grove
Grove, OK 74344-5300
Phone (918) 786-1909
Hospital & facility affiliations
- Integris Home Care Northeast
- Amedisys Home Health
- Enhabit Home Health of Northeast Oklahoma
- Integris Hospice Northeast
- Integris Grove Hospital
- Integris Miami Hospital
- Saint Francis Hospital Vinita, Inc
- Mercy Hospital Joplin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Grove Hospital | Current | Accepting new patients | |
| Oklahoma Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Integris Grove Hospital | Current | Accepting new patients | |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Integris Grove Hospital | Current | Accepting new patients | |
| Integris Rural Health Inc | Family Medicine | Past | Accepting new patients |
Locations
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
601 E 13th St
Grove, OK 74344
Phone (918) 786-2277
601 E 13th St
Ste A
Grove, OK 74344
Phone (918) 786-4914
10 E 13th St
Grove, OK 74344
Phone (918) 786-1909
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500
Interoperability endpoints
- dthompson84105@direct.integrisok.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Integris Hospice Northeast | Hospice | Contracted Managing Employee Operational/Managerial Control |
Nov 1, 2022 Nov 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Miami, OK
- NPI 1457368342
Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Emergency Medicine, OK
-
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- Rural Health Clinic/Center
- Grove, OK
- NPI 1689274391
-
- Emergency Medicine Physician
- Durant, OK
- NPI 1891039764
Emergency Medicine
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grove, OK
- NPI 1417905175
-
- Home Health Agency
- Grove, OK
- NPI 1407860190
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1407836760
-
- Home Health Agency
- Miami, OK
- NPI 1194748319
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1255826889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013094",
"telephone_number": "580-924-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DUSTIN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "6780",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "6780",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200852000A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.