Individual provider Active NPI

Dimple Shah, MD

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1306023809
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38411 Issued in OK
Practice address
4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone
(918) 935-3550
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT191975 PA
Diagnostic Radiology Physician 2085R0202X 38411 OK Primary

Addresses

Primary practice location

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201

Mailing address

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone (918) 935-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, OK3 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
I20161228001582 FL Practitioner - Diagnostic Radiology 5991952178 Reassigns benefits to 2 organizations
I20210114000460 TX Practitioner - Diagnostic Radiology 5991952178 Reassigns benefits to 12 organizations
I20220329000431 OK Practitioner - Diagnostic Radiology 5991952178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
Anadarko Indian Health CenterGroup PAC ID 7719931559, 47 clinicians
The Breast CenterGroup PAC ID 8325946072, 13 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

11705 Savona Way
Orlando, FL 32827-7267
Phone (918) 935-3550

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000

1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424

1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391

201 E Parker McKenzie Dr
Anadarko, OK 73005-5009
Phone (405) 247-7900

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

5604 SW Lee Blvd
Suite 150
Lawton, OK 73505-9680
Phone (580) 536-9729

900 N Owen Walters Boulevard
A Mo Health Center
Salina, OK 74365-5003
Phone (918) 434-8500

902 Lincoln Rd
Choctaw National Health Care Idabel
Idabel, OK 74745-7817
Phone (539) 316-6391

One Choctaw Way
Talihina, OK 74571-2022

Hospital & facility affiliations

  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

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

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT191975PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Sep 6, 2021 Accepting new patients
Pawnee Indian Health Center CurrentSince Sep 20, 2021 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2022 Accepting new patients
Clinton Indian Health Center CurrentSince Sep 20, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 10, 2021 Accepting new patients
Creek Nation Hospital & Clinics Internal Medicine Current Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Feb 13, 2021 Accepting new patients
The Breast Center CurrentSince Jan 15, 2026 Accepting new patients
Watonga Indian Health Center CurrentSince Sep 20, 2021 Accepting new patients
Cherokee Nation CurrentSince Sep 6, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Carnegie Indian Health Center CurrentSince Sep 20, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Nov 28, 2016 Accepting new patients
Cherokee Nation Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 10, 2021 Accepting new patients
El Reno Indian Health Center CurrentSince Sep 20, 2021 Accepting new patients
Wewoka Indian Health CurrentSince Sep 20, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2022 Accepting new patients
Anadarko Indian Health Center CurrentSince Sep 20, 2021 Accepting new patients
Lawton Indian Hospital CurrentSince Sep 20, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
Community Mobile Ultrasound, LLC Past Accepting new patients

Locations (25 of 38)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

5604 SW Lee Blvd
Ste 150
Lawton, OK 73505
Phone (580) 536-9729

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

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

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 28

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 28

Hospital & facility affiliations 7

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1306023809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465201",
            "telephone_number": "918-935-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465201",
            "telephone_number": "918-935-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIMPLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT191975",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "38411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.