Active NPI
Angela Michele McCoy, MD
- Diagnostic Radiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 21783
- 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.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Watonga, OK
- NPI 1801158522
Hospital
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
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
- Mercy Hospital Logan County
- Mercy Hospital Kingfisher, Inc
- Oklahoma Heart Hospital, LLC
- Mercy Hospital Watonga, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 21783 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200028350A | Medicaid | OK |
Other names 1
NPPES NPI Registry- Angela Michele Dyer
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.