NPIMap

Individual provider Active NPI

Todd Anthony Krehbiel, M.D.

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1467450692
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18489 Issued in OK
Practice address
2117 N. Kelly Ave.
Edmond, OK 73003-3908
Phone
(405) 726-2701
Fax
(405) 726-2702
NPI assigned
Jul 12, 2005
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18489 OK Primary
Pediatrics Physician 208000000X 18489 OK

Addresses

Primary practice location

2117 N. Kelly Ave.
Edmond, OK 73003-3908

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 419-8420

Other identifiers 2

IdentifierTypeStateIssuer
100136830DMedicaidOK
P00091305OtherRAILROAD MEDICARE

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
I20100203000892 OK Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4789727439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

2117 N Kelly Ave
Edmond, OK 73003-3908
Phone (405) 726-2701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18489OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Internal Medicine CurrentSince Feb 16, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients
Willow Creek Health Care LLC Past Accepting new patients
Golden Age Nursing Home of Guthrie LLC Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

2117 N Kelly Ave
Edmond, OK 73003
Phone (405) 726-2701

205 S Academy Rd
Ste D
Guthrie, OK 73044
Phone (405) 282-9449

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

4400 Grant Blvd
Ste 103
Yukon, OK 73099
Phone (405) 467-5340

Interoperability endpoints

  • Direct secure messaging: tkrehbiel392614@direct.integrisok.com
  • Direct secure messaging: toddkrehbiel@okss.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1467450692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-419-8420",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 N. KELLY AVE.",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033908",
            "telephone_number": "405-726-2701",
            "fax_number": "405-726-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREHBIEL",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18489",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "18489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136830D",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00091305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.