NPIMap

Individual provider Active NPI

Nathan Wilson Uy I, M.D.

  • Radiation Oncology Physician
  • Tulsa, OK
National Provider Identifier
1437148954
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
24231 Issued in OK
Practice address
12697 E 51St St
Tulsa, OK 74146-6236
Phone
(918) 505-3200
Fax
(918) 505-3225
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0431073 KS
Radiation Oncology Physician 2085R0001X 24231 OK Primary

Addresses

Primary practice location

12697 E 51St St
Tulsa, OK 74146-6236

Mailing address

12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200

Other practice location 1

1400 W 4th St
Coffeyville, KS 67337-3306
Phone (620) 252-1639

Other identifiers 3

IdentifierTypeStateIssuer
24231OtherOKMEDICAL LICENSURE
20004400AMedicaidOK
200750650AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050211000450 OK Practitioner - Radiation Oncology 1052369709 Reassigns benefits to 1 organization
I20120322000119 KS Practitioner - Radiation Oncology 1052369709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

1301 W 6TH Ave
Stillwater, OK 74074-4381

1400 W 4TH St
Coffeyville, KS 67337-3306
Phone 62025112001147

417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
69.28
Promoting interoperability
100
Improvement activities
40
Cost
56.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2015 Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2015 Accepting new patients
Coffeyville Regional Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients
St. John Physicians, Inc. Radiation Oncology Past Accepting new patients
Oklahoma Oncology & Hematology PC Radiation Oncology Past Accepting new patients
St. John Physicians, Inc Past Accepting new patients
Terry D Powell Radiation Oncologist, Inc. Radiation Oncology Past Accepting new patients
Radiation Oncology Consultants Inc Radiation Oncology Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1775

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Interoperability endpoints

  • Direct secure messaging: nuy@direct.crmcinc.org
  • Direct secure messaging: nathan.uy@direct.stjohnhealthsystem.com
  • Direct secure messaging: nathan.uy.p1@direct.smc.nextgenshare.com

Organizations & group practices 11

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 5

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1437148954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200",
            "fax_number": "918-505-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200",
            "fax_number": "918-505-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Coffeyville",
            "state": "KS",
            "postal_code": "673373306",
            "country_code": "US",
            "telephone_number": "620-252-1639",
            "fax_number": "620-252-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UY",
        "first_name": "NATHAN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "0431073",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "24231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSURE",
            "identifier": "24231",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20004400A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200750650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.