NPIMap

Individual provider Active NPI

Kevin L Jolliff, MD

  • Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1447390927
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23996 Issued in OK
Practice address
401 SW 80TH St Ste 101
Oklahoma City, OK 73139-8123
Phone
(405) 601-5169
Fax
(405) 601-9095
NPI assigned
Feb 7, 2007
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23996 OK Primary

Addresses

Primary practice location

401 SW 80TH St Ste 101
Oklahoma City, OK 73139-8123

Mailing address

2525 NW Expressway Ste 610
Oklahoma City, OK 73112-7251
Phone (405) 286-9465

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kjolliff34765@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
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000460 OK Practitioner - General Surgery 1951456896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

4221 S Western Ave
5050 Integris Gen Surg Southwest
Oklahoma City, OK 73109-3436
Phone (405) 636-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)13
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Melanoma (skin cancer) excision1-10
Removal of tissue24
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Surgical Group, PLLC Surgery CurrentSince May 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jun 30, 2022 Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Surgery Past Accepting new patients

Locations

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

2525 NW Expressway
Ste 610
Oklahoma City, OK 73112
Phone (405) 242-2181

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

401 SW 80th St
Ste 101
Oklahoma City, OK 73139
Phone (405) 601-4227

4221 S Western Ave
Ste 5050
Oklahoma City, OK 73109
Phone (405) 636-7900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAHBA
  • Direct secure messaging: kevin.jolliff.1@17407.direct.athenahealth.com
  • Direct secure messaging: kjolliff219262@direct.integrisok.com

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1447390927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW EXPRESSWAY STE 610",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127251",
            "telephone_number": "405-286-9465",
            "fax_number": "405-286-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398123",
            "telephone_number": "405-601-5169",
            "fax_number": "405-601-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLIFF",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "23996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjolliff34765@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kjolliff34765@direct-ehr-ssmhc.com",
            "address_1": "535 NW 9th St",
            "address_2": "Ste 330",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731021070",
            "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": "535 NW 9th St",
            "address_2": "Ste 330",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731021070",
            "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.