NPIMap

Individual provider Active NPI

Tyler Gutschenritter, MD

  • Radiation Oncology Physician
  • Oklahoma City, OK
National Provider Identifier
1285130716
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
33881 Issued in OK
Practice address
5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone
(405) 773-6530
NPI assigned
Apr 3, 2018
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 33881 OK Primary

Addresses

Primary practice location

5911 W Memorial Rd
Oklahoma City, OK 73142-2015

Mailing address

PO Box 248856
Oklahoma City, OK 73124-8856
Phone (405) 607-4520

Other practice location 1

901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 307-1703

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
I20230717000957 OK Practitioner - Radiation Oncology 5698009967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Proton Center LLCGroup PAC ID 4183963861, 15 clinicians
Radiation Medicine Associates, P.C.Group PAC ID 6507756137, 6 clinicians

Practice addresses (Care Compare)

5901 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6700

5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
95.26

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
58.26
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33881OKMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Proton Center LLC CurrentSince Aug 14, 2023 Accepting new patients
Radiation Medicine Associates, P.C. Radiation Oncology CurrentSince Jul 1, 2023 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

13900 N Portland Ave
Ste 165
Oklahoma City, OK 73134

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

5911 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6400

Interoperability endpoints

  • Direct secure messaging: tgutschenritter450060@direct.integrisok.com

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, 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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1285130716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248856",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248856",
            "telephone_number": "405-607-4520",
            "fax_number": "405-896-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422015",
            "telephone_number": "405-773-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716404",
            "country_code": "US",
            "telephone_number": "405-307-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTSCHENRITTER",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "33881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.