Individual provider Active NPI

John S Marouk, D.O.

  • Neurological Surgery Physician
  • Tulsa, OK
National Provider Identifier
1427099035
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
3038 Issued in OK
Practice address
2128 S Atlanta PL
Tulsa, OK 74114-1771
Phone
(918) 583-5131
Fax
(918) 592-0670
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 3038 OK Primary

Addresses

Primary practice location

2128 S Atlanta PL
Tulsa, OK 74114-1771

Mailing address

2128 S Atlanta PL
Tulsa, OK 74114-1771
Phone (918) 583-5131

Other practice location 1

6767 S Yale Ave Ste A
Tulsa, OK 74136-3399
Phone (918) 492-7587

Other identifiers 3

IdentifierTypeStateIssuer
0005436495OtherOKAETNA
175215700OtherOKDEPARTMENT OF LABOR
10096350AMedicaidOK

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
I20061218000565 OK Practitioner - Neurosurgery 4587663612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Oklahoma State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Surgery IncGroup PAC ID 2860472818, 11 clinicians

Practice addresses (Care Compare)

2128 S Atlanta PL
Suite 100
Tulsa, OK 74114-1755
Phone (918) 994-0820

6767 S Yale Ave
Suite a
Tulsa, OK 74136-3302
Phone (918) 492-7587

Hospital & facility affiliations

  • Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion54
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3038OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Inc Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Neurosurgical Specialists of Tulsa Inc Neurological Surgery CurrentSince Jan 1, 2007 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2128 S Atlanta Pl
Ste 100
Tulsa, OK 74114
Phone (918) 583-5131

6767 S Yale Ave
Ste A
Tulsa, OK 74136
Phone (918) 492-7587

2128 S Atlanta Pl
Tulsa, OK 74114
Phone (918) 477-5950

Interoperability endpoints

  • Direct secure messaging: jmarouk167341@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oklahoma Surgical Hospital LLCTulsa, OK, CCN 370210 Hospital General Partnership Interest (2.69%) Dec 28, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1427099035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 S ATLANTA PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141771",
            "telephone_number": "918-583-5131",
            "fax_number": "918-592-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 S ATLANTA PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141771",
            "telephone_number": "918-583-5131",
            "fax_number": "918-592-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6767 S Yale Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741363399",
            "country_code": "US",
            "telephone_number": "918-492-7587",
            "fax_number": "918-492-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROUK",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "3038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005436495",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "175215700",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10096350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.