NPIMap

Individual provider Active NPI

Kersey L Winfree, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1326079583
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15752 Issued in OK
Practice address
100 W Main St
Suite 200
Oklahoma City, OK 73102-9024
Phone
(405) 815-5060
Fax
(405) 815-5065
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15752 OK Primary

Addresses

Primary practice location

100 W Main St
Suite 200
Oklahoma City, OK 73102-9024

Mailing address

PO Box 268986
Oklahoma City, OK 73126-8986
Phone (405) 231-3857

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kwinfree31163@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

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
I20040518000318 OK Practitioner - Internal Medicine 1254321466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Internal Medicine CurrentSince Mar 21, 2010 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 21, 2010 Accepting new patients
SSM Health Care of Oklahoma Inc PastSince Jan 1, 2016 Accepting new patients
St. Anthony Shawnee Hospital, Inc. PastSince Jul 1, 2012 Accepting new patients
Saints Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

1111 N Lee Ave
Ste 334
Oklahoma City, OK 73103
Phone (405) 272-4953

608 NW 9th St
Ste 4210
Oklahoma City, OK 73102
Phone (405) 446-8290

100 W Main St
Ste 200
Oklahoma City, OK 73102
Phone (405) 815-5060

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

Interoperability endpoints

  • Direct secure messaging: kwinfree31163@direct-ehr-ssmhc.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK, CCN 370037 Hospital Corporate Director Jan 1, 2016
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK, CCN 37S037 Hospital Corporate Director Jan 1, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1326079583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268986",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268986",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731029024",
            "telephone_number": "405-815-5060",
            "fax_number": "405-815-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREE",
        "first_name": "KERSEY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwinfree31163@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kwinfree31163@direct-ehr-ssmhc.com",
            "address_1": "100 W Main St",
            "address_2": "Suite 200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731029024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "100 W Main St",
            "address_2": "Suite 200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731029024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.