Kenneth Ted Darvin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20274 Issued in OK

Practice address

1102 W Macarthur St
Shawnee, OK 74804-1743

Phone

(405) 878-8110

Fax

(405) 878-8101

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Merit-based Incentive Payment System (MIPS)

Final score

99.2 of 100Reported as group

Quality

93.03

Promoting interoperability

100

Improvement activities

40

Cost

93.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdarvin44812@direct-ehr-ssmhc.com

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.

• Metro Physicians LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1588374797
  Medicare reassignment Care Compare group NPD
• Oklahoma Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1598759730
  NPD (past)
• Rha Stroud Inc

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1437107117
  NPD (past)
• St Anthony Shawnee Hospital Inc

  • General Acute Care Hospital
  • Shawnee, OK
  • NPI 1134123193
  NPD (past)
• TSG Physicians Group

  • Family Medicine Physician
  • Stroud, OK
  • NPI 1205884145
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  Care Compare affiliation
• St Anthony Shawnee Hospital Inc

  • General Acute Care Hospital
  • Shawnee, OK
  • NPI 1134123193
  Care Compare affiliation

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1427021450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041743",
            "telephone_number": "405-878-8110",
            "fax_number": "405-878-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041743",
            "telephone_number": "405-878-8110",
            "fax_number": "405-878-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARVIN",
        "first_name": "KENNETH",
        "middle_name": "TED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100063060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Lin Damron
• Morgan Alexis Daniel
• Khalynn Daniels
• Dannielle Nokes, MSW, LCSW, Cmiii, LLC
• Trace Darr
• Destiny Suzzanne Dauman
• Leanna C Davenport, M.A., LPC
• Lenny Davidson, RBT
• Alyssa Mary Jane Davis, LCSW
• Alyvia Faith Davis

• Family Medicine Physician in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.