NPIMap

Individual provider Active NPI

Kristopher R Avant, DO

  • Orthopaedic Hand Surgery Physician
  • Yukon, OK
National Provider Identifier
1386833408
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
4499 Issued in OK
Practice address
1805 Commons Cir Ste 100-C
Yukon, OK 73099-9519
Phone
(405) 265-0165
Fax
(405) 265-0897
NPI assigned
Oct 15, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4499 OK
Orthopaedic Hand Surgery Physician 207XS0106X 4499 OK Primary

Addresses

Primary practice location

1805 Commons Cir Ste 100-C
Yukon, OK 73099-9519

Mailing address

8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Other practice location 1

8100 S Walker Ave Bldg A
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Other identifiers 1

IdentifierTypeStateIssuer
4499OtherOKMEDICAL LICENSE

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
I20120910000124 OK Practitioner - Orthopedic Surgery 4789853730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8100 S Walker Ave BLDG a
Southwest Orthopaedic and Reconstructive
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.92 of 100Reported as group
Quality
56.21
Promoting interoperability
100
Improvement activities
40
Cost
66.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)102
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopaedic Specialists, P.L.L.C. Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Southwest Orthopaedic Specialists, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

6001 NW 139th St
Ste A
Oklahoma City, OK 73142
Phone (405) 635-3511

8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500

8100 S Walker Ave
Bldg A
Oklahoma City, OK 73139

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

1805 Commons Cir
Ste 100C
Yukon, OK 73099
Phone (405) 265-0165

1805 Commons Cir
Ste C
Yukon, OK 73099
Phone (405) 265-0165

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/
  • Direct secure messaging: kavant@direct.uspi.com
  • Direct secure messaging: kavant22450@direct.integrisok.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1386833408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-619-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COMMONS CIR STE 100-C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999519",
            "telephone_number": "405-265-0165",
            "fax_number": "405-265-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 S Walker Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731399475",
            "country_code": "US",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVANT",
        "first_name": "KRISTOPHER",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4499",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OK",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4499",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.