Individual provider Active NPI

Derek L Norman, MD

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1376683573
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
23905 Issued in OK
Practice address
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-3960
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81137 CA
Cardiovascular Disease Physician 207RC0000X 23905 OK
Interventional Cardiology Physician 207RI0011X 23905 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other practice location 1

5224 E I 240 Service Rd Fl 2
Oklahoma City, OK 73135-2607
Phone (405) 608-3800

Other practice location 2

3 E Clark Bass Blvd Ste 1-2
McAlester, OK 74501-4283
Phone (918) 558-2901

Other identifiers 1

IdentifierTypeStateIssuer
200175190AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnorman@direct.okheart.com Direct

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
I20080724000523 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 3072686989 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAlester Regional Health Center AuthorityGroup PAC ID 6709796436, 46 clinicians
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians
Mercy Hospital Oklahoma City, IncGroup PAC ID 8022920982, 37 clinicians

Practice addresses (Care Compare)

1 E Clark Bass Blvd
210 MRHC Clinic
McAlester, OK 74501-4209
Phone (918) 421-6753

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

4300 W Memorial Dr
Oklahoma City, OK 73120-8304

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

Hospital & facility affiliations

  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
  • Clinton Regional Hospital Hospital, Clinton, OK, CCN 370784

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting68
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81137CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Regional Health Center Authority CurrentSince Jun 20, 2023 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Aug 2, 2012 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Aug 27, 2023 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Aug 27, 2023 Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients
McAlester Medical Services, LLC Internal Medicine CurrentSince Jun 20, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients

Locations

1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1 E Clark Bass Blvd
Ste 210
McAlester, OK 74501
Phone (918) 421-6753

3 E Clark Bass Blvd
Ste 1
McAlester, OK 74501
Phone (918) 421-6029

3 E Clark Bass Blvd
Ste 2
McAlester, OK 74501
Phone (918) 421-6960

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

3 E Clark Bass Blvd
Ste 12
McAlester, OK 74501
Phone (918) 558-2901

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

7800 NW 85th Ter
#200
Oklahoma City, OK 73132

5224 E I 240 Service Rd
Fl 2
Oklahoma City, OK 73135
Phone (405) 628-6800

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

Interoperability endpoints

  • Direct secure messaging: dnorman@direct.okheart.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • Direct secure messaging: dnorman22100@direct.okheart.com
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1376683573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5224 E I 240 Service Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731352607",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 E Clark Bass Blvd Ste 1-2",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014283",
            "country_code": "US",
            "telephone_number": "918-558-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DEREK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81137",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "23905",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "23905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200175190A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnorman@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.