NPIMap

Individual provider Active NPI

Ryan Kenneth Norris, D.O.

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1265698716
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5508 Issued in OK
Practice address
4221 S Western Ave
#2010
Oklahoma City, OK 73109-3447
Phone
(405) 644-5120
Fax
(405) 644-5309
NPI assigned
Aug 4, 2008
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-053038 IL
Cardiovascular Disease Physician 207RC0000X 036.124250 IL
Cardiovascular Disease Physician 207RC0000X 5508 OK Primary

Addresses

Primary practice location

4221 S Western Ave
#2010
Oklahoma City, OK 73109-3447

Mailing address

3545 NW 58TH St
Ste 450
Oklahoma City, OK 73112-4726
Phone (405) 951-4370

Other identifiers 1

IdentifierTypeStateIssuer
5508OtherOKOKLAHOMA BOARD OF OSTEOPATHIC EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729000117 OK Practitioner - Cardiovascular Disease (Cardiology) 0244363711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Kansas City College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

4221 S Western Ave
2010 Southwest CVC
Oklahoma City, OK 73109-3445
Phone (405) 644-5120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-053038ILMDInternal Medicine Physician
036.124250ILMDCardiovascular Disease Physician
5508OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TPG Hospital LLC Cardiovascular Disease CurrentSince Feb 1, 2016 Accepting new patients
Community Hospital LLC Current Accepting new patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Oct 1, 2014 Accepting new patients
Community Hospital LLC Cardiovascular Disease CurrentSince Jan 30, 2015 Accepting new patients
TPG Hospital LLC Current Accepting new patients
Oklahoma Cardiovascular Surgeons Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

603 NE 2nd St
Antlers, OK 74523
Phone (580) 298-3351

1401 SW 34th St
Ste 320
Moore, OK 73160
Phone (405) 676-8083

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 670
Oklahoma City, OK 73112
Phone (405) 951-4345

4221 S Western Ave
Ste 2010
Oklahoma City, OK 73109
Phone (405) 600-7201

9204 N May Ave
Oklahoma City, OK 73120
Phone (405) 840-3488

Interoperability endpoints

  • Direct secure messaging: rnorris8889@direct.integrisok.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1265698716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 NW 58TH ST",
            "address_2": "STE 450",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124726",
            "telephone_number": "405-951-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "#2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-5120",
            "fax_number": "405-644-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "RYAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-053038",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.124250",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "5508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF OSTEOPATHIC EXAMINERS",
            "identifier": "5508",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.