Individual provider Active NPI

Paula Ann Deupree, D.O.

  • Body Imaging Physician
  • Oklahoma City, OK
National Provider Identifier
1407901085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
4136 Issued in OK
Practice address
13509 N Meridian Ave
Suite 6
Oklahoma City, OK 73120-8396
Phone
(405) 755-2273
Fax
(405) 751-3505
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 4136 OK Primary

Addresses

Primary practice location

13509 N Meridian Ave
Suite 6
Oklahoma City, OK 73120-8396

Mailing address

13509 N Meridian Ave
Suite 6
Oklahoma City, OK 73120-8396
Phone (405) 755-2273

Other names 1

  • Paula Ann Slack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110513000427 OK Practitioner - Diagnostic Radiology 2860678562 Reassigns benefits to 2 organizations
I20120921000351 TX Practitioner - Diagnostic Radiology 2860678562 Reassigns benefits to 1 organization
I20200326003344 MO Practitioner - Diagnostic Radiology 2860678562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4136OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Miracl, LLC CurrentSince Apr 1, 2020 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 9, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 9, 2024 Accepting new patients
Kiowa County Hospital Authority CurrentSince Jan 26, 2013 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Aug 13, 2012 Accepting new patients
Washington University CurrentSince Apr 1, 2020 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Aug 13, 2012 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2911

1001 N Country Club Rd
Ada, OK 74820
Phone (580) 421-4570

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

429 W Elm St
Hobart, OK 73651
Phone (580) 726-1900

13509 N Meridian Ave
Oklahoma City, OK 73120
Phone (405) 755-2273

13509 N Meridian Ave
Ste 6
Oklahoma City, OK 73120
Phone (405) 755-2273

2601 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 515-0357

2607 SW 119th St
Oklahoma City, OK 73170
Phone (405) 814-2273

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: pdeupree57352@ouhealth.direct-ci.net

Organizations & group practices 9

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 9

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407901085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13509 N MERIDIAN AVE",
            "address_2": "SUITE 6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208396",
            "telephone_number": "405-755-2273",
            "fax_number": "405-751-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13509 N MERIDIAN AVE",
            "address_2": "SUITE 6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208396",
            "telephone_number": "405-755-2273",
            "fax_number": "405-751-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUPREE",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OK",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "SLACK",
            "middle_name": "ANN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.