NPIMap

Individual provider Active NPI

Tom Shi Connally, MD

  • Surgery Physician
  • Norman, OK
National Provider Identifier
1326092370
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23363 Issued in OK
Practice address
500 East Robinson
Suite 2300
Norman, OK 73071-6671
Phone
(405) 329-4102
Fax
(405) 307-5627
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23363 OK Primary

Addresses

Primary practice location

500 East Robinson
Suite 2300
Norman, OK 73071-6671

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6668

Other identifiers 3

IdentifierTypeStateIssuer
200014890BMedicaidOK
P00072417OtherOKMEDICARE RAILROAD
200014890AMedicaidOK

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
I20071102000492 OK Practitioner - General Surgery 2961458104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

3101 W Tecumseh Rd
200 Endocrine Ctr
Norman, OK 73072-1817
Phone (405) 307-5720

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

3400 W Tecumseh Rd
Norman, OK 73072-1811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23363OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care Surgery CurrentSince Jan 1, 2013 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
McCurdy Rable Surgical Clinic Inc Surgery Past Accepting new patients
Tom Shi Connally MD PC Surgery Past Accepting new patients

Locations

500 E Robinson St
Ste 2300
Norman, OK 73071
Phone (405) 329-4102

3101 W Tecumseh Rd
Ste 200
Norman, OK 73072
Phone (405) 307-5720

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

13100 N Western Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 208-9097

Interoperability endpoints

  • Direct secure messaging: tom.connally@nrh.eclinicaldirectplus.com

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1326092370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6668",
            "fax_number": "405-307-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EAST ROBINSON",
            "address_2": "SUITE 2300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716671",
            "telephone_number": "405-329-4102",
            "fax_number": "405-307-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALLY",
        "first_name": "TOM",
        "middle_name": "SHI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "23363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014890B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00072417",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.