Individual provider Active NPI

Thomas Barcley Atkinson, M.D.

  • Family Medicine Physician
  • Bixby, OK
National Provider Identifier
1417942020
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21702 Issued in OK
Practice address
7647 E 126TH St S Ste 100
Bixby, OK 74008-2796
Phone
(918) 416-7619
NPI assigned
Sep 20, 2005
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21702 OK Primary

Addresses

Primary practice location

7647 E 126TH St S Ste 100
Bixby, OK 74008-2796

Mailing address

4815 S 189TH East Ave
Tulsa, OK 74134-7211
Phone (918) 416-7619

Other identifiers 2

IdentifierTypeStateIssuer
200224830AMedicaidOK
100169890FMedicaidOK

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
I20070621000048 OK Practitioner - Family Practice 4880793587 Reassigns benefits to 3 organizations
I20260512003828 TX Practitioner - Family Practice 4880793587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

13600 E 86TH St N
Suite 100
Owasso, OK 74055-8732
Phone (918) 272-9313

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emergency Medical Center Inc CurrentSince Mar 5, 2021 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Mar 5, 2021 Accepting new patients
Omni Medical Group Inc Family Medicine CurrentSince Nov 12, 2023 Accepting new patients
St. John Physicians, Inc PastSince Dec 15, 2024 Accepting new patients
St. John Physicians, Inc. Family Medicine PastSince Dec 15, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

13600 E 86th St N
Ste 100
Owasso, OK 74055
Phone (918) 272-9313

1919 S Wheeling Ave
Ste 402
Tulsa, OK 74104
Phone (918) 748-7877

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1417942020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 S 189TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347211",
            "telephone_number": "918-416-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7647 E 126TH ST S STE 100",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082796",
            "telephone_number": "918-416-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "THOMAS",
        "middle_name": "BARCLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200224830A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169890F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

Verify at the official NPI Registry.