Individual provider Active NPI

Matt Millington, DO

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1265939698
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6709 Issued in OK
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4090
Phone
(918) 579-1000
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 6709 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4090

Mailing address

11415 S Kingston Ave
Tulsa, OK 74137-7748
Phone (682) 472-5913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200729000914 OK Practitioner - Emergency Medicine 7517382252 Reassigns benefits to 5 organizations
I20220215001550 TX Practitioner - Emergency Medicine 7517382252 Reassigns benefits to 1 organization
I20220224000949 KS Practitioner - Emergency Medicine 7517382252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

Practice addresses (Care Compare)

1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556

1400 W 4TH St
Coffeyville Medical Center Emerg Dept
Coffeyville, KS 67337-3306
Phone (620) 251-1200

Hospital & facility affiliations

  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jan 3, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 20, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jul 8, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jul 8, 2020 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 1, 2025 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Bailey Medical Center, LLC Past Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Ahs Pryor Hospital, LLC Past Accepting new patients
Leflore County Hospital Authority Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1265939698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 S KINGSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377748",
            "telephone_number": "682-472-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044090",
            "telephone_number": "918-579-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLINGTON",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "6709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.