Individual provider Active NPI

Rachel Wirginis, DO

  • Addiction Medicine (Family Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1437642279
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
6803 Issued in OK
Practice address
5310 E 31St St FL 11
Tulsa, OK 74135-5018
Phone
(918) 584-4364
Fax
(918) 584-5394
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6803 OK
Addiction Medicine (Family Medicine) Physician 207QA0401X 6803 OK Primary

Addresses

Primary practice location

5310 E 31St St FL 11
Tulsa, OK 74135-5018

Mailing address

5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701

Other practice location 1

5310 E 31st St Ste 1102
Tulsa, OK 74135-5018
Phone (918) 561-1890

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

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
I20220802001333 OK Practitioner - Family PracticePractitioner - Addiction Medicine 3870975279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

042 Murray
Stillwater, OK 74078-0001

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6803OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University CurrentSince Jul 20, 2022 Accepting new patients
Oklahoma State University CurrentSince Jul 20, 2022 Accepting new patients
Oklahoma State University CurrentSince Nov 3, 2024 Accepting new patients
Oklahoma State University Family Medicine PastSince Jul 1, 2022 Accepting new patients
Oklahoma State University PastSince May 22, 2022 Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

Dept 2563
Tulsa, OK 74182

5310 E 31st St
Ste 11
Tulsa, OK 74135
Phone (918) 561-1890

Interoperability endpoints

  • Direct secure messaging: rwirginis40696@direct.saintfrancis.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1437642279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 11",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-584-4364",
            "fax_number": "918-584-5394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 E 31st St Ste 1102",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741355018",
            "country_code": "US",
            "telephone_number": "918-561-1890",
            "fax_number": "918-561-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRGINIS",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6803",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OK",
            "license": "6803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.