Individual provider Active NPI

Angela Michele McCoy, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1336106293
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21783 Issued in OK
Practice address
4625 S Western Ave
Oklahoma City, OK 73109-3831
Phone
(405) 632-2323
Fax
(405) 631-9315
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PC 22 clinicians

Practice addresses (Care Compare)

1000 Hospital Cir
Kingfisher, OK 73750-5002
Phone (405) 375-3141

200 S Academy Rd
Guthrie, OK 73044-8727
Phone (405) 282-6700

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

500 N Clarence Nash Blvd
Watonga, OK 73772-2845
Phone (580) 623-7211

520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910

5401 W Memorial Rd
Oklahoma City, OK 73142-2026
Phone (405) 384-5250

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317
  • Mercy Hospital Kingfisher, Inc Hospital, Kingfisher, OK, CCN 371313
  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • Mercy Hospital Watonga, Inc Hospital, Watonga, OK, CCN 371302

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86.67
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000711 OK Practitioner - Diagnostic Radiology 6204813462 Reassigns benefits to 1 organization

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 21783 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

4625 S Western Ave
Oklahoma City, OK 73109-3831

Mailing address

4625 S Western Ave
Oklahoma City, OK 73109-3831
Phone (405) 632-2323

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200028350AMedicaidOK

Other names 1

NPPES NPI Registry
  • Angela Michele Dyer Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2013.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1336106293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093831",
            "telephone_number": "405-632-2323",
            "fax_number": "405-631-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093831",
            "telephone_number": "405-632-2323",
            "fax_number": "405-631-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANGELA",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "21783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DYER",
            "middle_name": "MICHELE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.