Active NPI
Michael Hitsman
- Family Medicine Physician
- Vinita, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6419
- Practice address
- 715 N Foreman St
Vinita, OK 74301-1422 - Phone
- (918) 256-8731
- Fax
- (918) 256-8234
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6419 | OK | Primary |
Addresses
Primary practice location
715 N Foreman St
Vinita, OK 74301-1422
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Other practice location 1
26300 S Highway 125
Afton, OK 74331-6282
Phone (918) 257-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200800080B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000
383 S Orleans Rd
Brewster, MA 02631-2870
Phone (508) 240-3500
Hospital & facility affiliations
- Continuum Care of Mass, LLC
- Broad Reach Hospice
- Beacon Hospice, an Amedisys Company
- Cape Cod Hospital
- Falmouth Hospital
- Cape Cod Post Acute Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6419 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Vytal Health Solutions LLC | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Cape Cod Operator LLC | Past | Accepting new patients | |
| Cape Cod Hospital Inc | Past | Accepting new patients | |
| Pleasant Bay of Brewster Rehab Center LLC | Past | Accepting new patients |
Locations
383 S Orleans Rd
Brewster, MA 02631
Phone (508) 240-3500
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
26300 S Highway 125
Monkey Island, OK 74331
Phone (918) 257-8585
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
715 N Foreman St
Vinita, OK 74301
Phone (918) 256-8477
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Organizations & group practices 10
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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Internal Medicine Physician
- Brewster, MA
- NPI 1487420444
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Sallisaw, OK
- NPI 1780692723
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- Skilled Nursing Facility
- Brewster, MA
- NPI 1164252961
-
- Skilled Nursing Facility
- Brewster, MA
- NPI 1548813850
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fall River, MA
- NPI 1932283694
-
- Community Based Hospice Care Agency
- North Chatham, MA
- NPI 1841271087
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- Community Based Hospice Care Agency
- Fall River, MA
- NPI 1134688575
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1306387907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "888-247-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N FOREMAN ST",
"city": "VINITA",
"state": "OK",
"postal_code": "743011422",
"telephone_number": "918-256-8731",
"fax_number": "918-256-8234"
}
],
"practiceLocations": [
{
"address_1": "26300 S Highway 125",
"address_purpose": "LOCATION",
"city": "Afton",
"state": "OK",
"postal_code": "743316282",
"country_code": "US",
"telephone_number": "918-257-8585",
"fax_number": "918-257-8560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HITSMAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-15",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "6419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200800080B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.