Individual provider Active NPI

Keely Wheeler, D.O.

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1275662058
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO.000230 Issued in LA
Practice address
5200 S Yale Ave
Suite 402
Tulsa, OK 74135-7451
Phone
(918) 609-0755
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO.000230 LA Primary
Child & Adolescent Psychiatry Physician 2084P0804X DO.000230 LA

Addresses

Primary practice location

5200 S Yale Ave
Suite 402
Tulsa, OK 74135-7451

Mailing address

5200 S Yale Ave
Suite 402
Tulsa, OK 74135-7451
Phone (918) 609-0755

Other identifiers 2

IdentifierTypeStateIssuer
1204570MedicaidOK
2128060MedicaidLA

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
I20120913000650 OK Practitioner - Psychiatry 9234387382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laureate Psychiatric Clinic and Hospital IncGroup PAC ID 3971599218, 78 clinicians

Practice addresses (Care Compare)

6655 S Yale Ave
Tulsa, OK 74136-3326
Phone (918) 481-4000

Merit-based Incentive Payment System (MIPS)

Final score
95.86 of 100Reported as group
Quality
85.15
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.000230LAMDChild & Adolescent Psychiatry Physician
4570OKMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: kwheeler25092@direct.saintfrancis.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1275662058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S YALE AVE",
            "address_2": "SUITE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357451",
            "telephone_number": "918-609-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S YALE AVE",
            "address_2": "SUITE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357451",
            "telephone_number": "918-609-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KEELY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "DO.000230",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "DO.000230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204570",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128060",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.