Individual provider Active NPI

Paul L Preslar, D.O.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1437141793
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3301 Issued in OK
Practice address
3400 S Douglas Blvd Ste 200
Oklahoma City, OK 73150
Phone
(405) 272-2850
Fax
(405) 272-2898
NPI assigned
Aug 22, 2005
Last updated
Jan 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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 3301 OK Primary

Addresses

Primary practice location

3400 S Douglas Blvd Ste 200
Oklahoma City, OK 73150

Mailing address

3400 S Douglas Blvd Ste 200
Oklahoma City, OK 73150-1017
Phone (405) 272-2850

Other practice location 1

1212 S Douglas Blvd
Midwest City, OK 73130-5213
Phone (405) 736-6811

Other practice location 2

9020 E Reno Ave Ste 100
Midwest City, OK 73130-3336
Phone (405) 732-7119

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ppreslar37100@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, OR2 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
I20100504000815 OK Practitioner - Family Practice 2163550609 Reassigns benefits to 1 organization
I20221123001236 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2163550609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Coos Health DistrictGroup PAC ID 1951219310, 25 clinicians

Practice addresses (Care Compare)

900 11TH St SE
Bandon, OR 97411-9114
Phone (541) 347-2426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3301OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coos Health District CurrentSince Jul 20, 2022 Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Southern Coos Health District CurrentSince Jul 20, 2022 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 1, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

9020 E Reno Ave
Ste 100
Midwest City, OK 73130
Phone (405) 732-0397

1212 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 736-6811

3400 S Douglas Blvd
Ste 200
Oklahoma City, OK 73150
Phone (405) 272-2850

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426

Organizations & group practices 5

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 7

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1437141793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501017",
            "telephone_number": "405-272-2850",
            "fax_number": "405-272-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73150",
            "telephone_number": "405-272-2850",
            "fax_number": "405-272-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731305213",
            "country_code": "US",
            "telephone_number": "405-736-6811",
            "fax_number": "405-736-6863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 E Reno Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731303336",
            "country_code": "US",
            "telephone_number": "405-732-7119",
            "fax_number": "705-732-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESLAR",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppreslar37100@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ppreslar37100@direct-ehr-ssmhc.com",
            "address_1": "1212 S Douglas Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731305213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1212 S Douglas Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731305213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.