Dylan Bradley Allen, MD
Individual provider Active NPI Internal Medicine Physician · Claremore, OK
NPI 1336762202 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1336762202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 36021 (OK)
- Practice address
- 1501 N Florence Ave Ste 201
Claremore, OK 74017-3189 - Phone
- (918) 341-1886
- Fax
- (918) 343-1727
- NPI assigned
- May 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cherokee Nation
Ahs Claremore Regional Hospital LLC
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000
1501 N Florence Ave
Claremore, OK 74017-3179
Phone (918) 579-3627
201 W Blue Starr Dr
Claremore, OK 74017-4227
Phone (918) 341-5200
Hospital & facility affiliations
- Angels Care Home Health of East Oklahoma
- Amedisys Home Health
- Cherokee Nation W W Hastings Indian Hospital
- Hillcrest Hospital Claremore
- Hillcrest Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726000198 | OK | Practitioner - Internal Medicine | 2961884663 | Reassigns benefits to 1 organization |
| I20260126001536 | TX | Practitioner - Internal Medicine | 2961884663 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36021 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Ahs Claremore Regional Hospital LLC | Current |
Accepting new patients | |
| Ahs Claremore Regional Hospital, LLC | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Internal Medicine | Past | Accepting new patients |
| Ahs Claremore Regional Hospital, LLC. | Past | Accepting new patients |
Locations
201 W Blue Starr Dr
Claremore, OK 74017
Phone (918) 341-1311
1501 N Florence Ave
Ste 201
Claremore, OK 74017
Phone (918) 341-1886
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
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
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- dallen879942@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36021 | OK | Yes |
Addresses
Primary practice location
1501 N Florence Ave Ste 201
Claremore, OK 74017-3189
Mailing address
1501 N Florence Ave Ste 201
Claremore, OK 74017-3189
Phone (918) 341-1886
Other providers in Claremore, OK
- All the Way Home, LLC
- Kaycee Lauren Allbritton
- Cherise Nicole Allen
- Christopher C Allen
- Christopher C Allen
- Meagan Allen
- Alliance Mental Health Community Partnership
- Alliance Mental Health, LLC
- Miranda Allman
- Alternative Medical Specialties of Oklahoma LLC
All providers in Claremore, OK · Internal Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.