Individual provider Active NPI

Anne V Herdman Royal, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
National Provider Identifier
1407060999
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
44327 Issued in TN
Practice address
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone
(918) 712-5571
Fax
(918) 747-7831
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 054747 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 99674 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 44327 TN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 30758 SC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2008-714 NC

Addresses

Primary practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Mailing address

2738 E 51St St
Suite 290
Tulsa, OK 74105
Phone (918) 712-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326002896 OK Practitioner - Pathology 0446325955 Reassigns benefits to 1 organization
I20190125002250 TX Practitioner - Pathology 0446325955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Kansas City, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lab Medicine of Greater Tulsa PCGroup PAC ID 9436117512, 12 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-1420

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
76.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99674FLMDAnatomic Pathology & Clinical Pathology Physician
054747GAMDAnatomic Pathology & Clinical Pathology Physician
2008-714NCMDAnatomic Pathology & Clinical Pathology Physician
44327TNMDAnatomic Pathology & Clinical Pathology Physician
30758SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Outreach Services LLC Current Accepting new patients
Lab Medicine of Greater Tulsa, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Feb 14, 2018 Accepting new patients
Tulsa Medical Laboratory, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 24, 2022 Accepting new patients
Cherokee Nation CurrentSince Nov 29, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Tulsa Medical Laboratory, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 24, 2022 Accepting new patients
Cherokee Nation CurrentSince Nov 29, 2018 Accepting new patients
Marlboro Chesterfield Pathology, PC Anatomic Pathology & Clinical Pathology PastSince Nov 22, 2020 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Pathgroup Labs, LLC Past Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

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

5110 S Yale Ave
Ste 100
Tulsa, OK 74135
Phone (918) 712-5571

2738 E 51st St
Ste 290
Tulsa, OK 74105

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407060999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 E 51ST ST",
            "address_2": "SUITE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74105",
            "telephone_number": "918-712-5571",
            "fax_number": "918-747-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361902",
            "telephone_number": "918-712-5571",
            "fax_number": "918-747-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDMAN ROYAL",
        "first_name": "ANNE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "054747",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "99674",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "44327",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "30758",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2008-714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.