Individual provider Active NPI

Todd Michael Kliewer, M.D.

  • Hematology & Oncology Physician
  • Midwest City, OK
National Provider Identifier
1396745741
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
19540 Issued in OK
Practice address
230 N Midwest Blvd
Midwest City, OK 73110-4321
Phone
(405) 737-8455
Fax
(405) 739-8707
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 19540 OK Primary

Addresses

Primary practice location

230 N Midwest Blvd
Midwest City, OK 73110-4321

Mailing address

230 N Midwest Blvd
Midwest City, OK 73110-4321
Phone (405) 737-8455

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tkliewer37177@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

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
I20040624000152 OK Practitioner - Medical Oncology 2062497811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19540OKMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc CurrentSince Jun 1, 2015 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 4, 2018 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Jun 1, 2015 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 4, 2018 Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Oklahoma Oncology & Hematology PC Hematology & Oncology Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

330 S 5th St
Enid, OK 73701
Phone (580) 233-2128

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

Interoperability endpoints

  • Direct secure messaging: tkliewer37177@direct-ehr-ssmhc.com

Organizations & group practices 8

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 7

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1396745741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MIDWEST BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104321",
            "telephone_number": "405-737-8455",
            "fax_number": "405-739-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MIDWEST BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104321",
            "telephone_number": "405-737-8455",
            "fax_number": "405-739-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEWER",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "19540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkliewer37177@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tkliewer37177@direct-ehr-ssmhc.com",
            "address_1": "230 N Midwest Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731104321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "230 N Midwest Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731104321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.