Individual provider Active NPI

Nathaniel NG, MD

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1285217125
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38391 Issued in OK
Practice address
940 E 36TH St N
Tulsa, OK 74106-1953
Phone
(918) 398-9460
Fax
(918) 992-2822
NPI assigned
Apr 29, 2021
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38391 OK Primary

Addresses

Primary practice location

940 E 36TH St N
Tulsa, OK 74106-1953

Mailing address

3152 N Kenosha Ave
Tulsa, OK 74106-1915
Phone (206) 779-9864

Other practice location 1

5635 N Mlk Jr Blvd
Tulsa, OK 74126-6409
Phone (918) 398-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230216001000 OK Practitioner - Emergency MedicinePractitioner - Family Practice 9032581202 Reassigns benefits to 4 organizations
I20240528003078 TX Practitioner - Emergency Medicine 9032581202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossover Health Services IncGroup PAC ID 2668819145, 3 clinicians

Practice addresses (Care Compare)

940 E 36 St N
Tulsa, OK 74106-1953
Phone (918) 398-9460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Nov 4, 2022 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Nov 4, 2022 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Crossover Health Services Inc CurrentSince Aug 4, 2025 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Apr 17, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 17, 2024 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Jul 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 17, 2024 Accepting new patients
Crossover Health Services Inc CurrentSince Aug 4, 2025 Accepting new patients
St John Urgent Care Clinics Inc PastSince May 1, 2021 Accepting new patients
Creek Nation Hospital and Clinics Board Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

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

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

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

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nathaniel.ng.1@16190.direct.athenahealth.com
  • Direct secure messaging: nng22986@muscogeecreeknation.direct-ci.com

Organizations & group practices 12

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 1

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1285217125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N KENOSHA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061915",
            "telephone_number": "206-779-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061953",
            "telephone_number": "918-398-9460",
            "fax_number": "918-992-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5635 N Mlk Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741266409",
            "country_code": "US",
            "telephone_number": "918-398-9460",
            "fax_number": "918-992-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "NATHANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "38391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.