Individual provider Active NPI

Timothy Luke Cramer, MD

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1275947335
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
30764 Issued in OK
Practice address
1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103
Phone
(405) 232-8003
Fax
(405) 232-8008
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 30764 OK Primary

Addresses

Primary practice location

1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103

Mailing address

701 NE 10TH St
Oklahoma City, OK 73104-5403
Phone (405) 232-8003

Other identifiers 1

IdentifierTypeStateIssuer
200639900AMedicaidOK

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
I20170919001564 OK Practitioner - Family Practice 2365759172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Pain Clinic, LLCGroup PAC ID 7214270370, 4 clinicians

Practice addresses (Care Compare)

1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103-2435
Phone (405) 232-8003

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Pain Clinic, LLC Interventional Pain Medicine CurrentSince Mar 11, 2019 Accepting new patients
Absentee Shawnee Tribal Health Authority, Inc. Current Accepting new patients
Summit Medical Center Interventional Pain Medicine Past Accepting new patients

Locations

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

1226 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 232-8003

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

Organizations & group practices 3

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 5

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1275947335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045403",
            "telephone_number": "405-232-8003",
            "fax_number": "405-232-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N SHARTEL AVE",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73103",
            "telephone_number": "405-232-8003",
            "fax_number": "405-232-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "TIMOTHY LUKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "30764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200639900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.