NPIMap

Individual provider Active NPI

Darrel L. Stout, M.D.

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1356362073
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14799 Issued in OK
Practice address
1575 N Santa Fe Ave
Edmond, OK 73003-3638
Phone
(405) 285-0660
Fax
(405) 285-0659
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14799 OK Primary

Addresses

Primary practice location

1575 N Santa Fe Ave
Edmond, OK 73003-3638

Mailing address

1575 N Santa Fe Ave
Edmond, OK 73003-3638
Phone (405) 285-0660

Other identifiers 2

IdentifierTypeStateIssuer
14799OtherOKLICENSE
100258660AMedicaidOK

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
I20041207000127 OK Practitioner - Family Practice 8729044201 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1575 N Santa Fe Ave
Edmond, OK 73003-3638
Phone (405) 285-0660

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Oklahoma City, OK, CCN 377048
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince May 1, 2023 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Nov 14, 2011 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Oct 10, 2012 Accepting new patients
Integris Ambulatory Care C Orporation Family Medicine Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1575 N Santa Fe Ave
Edmond, OK 73003
Phone (405) 285-0600

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dstout17242@directc.mercy.net

Organizations & group practices 7

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 8

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1356362073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033638",
            "telephone_number": "405-285-0660",
            "fax_number": "405-285-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033638",
            "telephone_number": "405-285-0660",
            "fax_number": "405-285-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "DARREL",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14799",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.