Individual provider Active NPI

Eric J Neller, M.D.

  • Anesthesiology Physician
  • Edmond, OK
National Provider Identifier
1467591958
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24460 Issued in OK
Practice address
1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone
(405) 359-2400
NPI assigned
Feb 5, 2007
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 24460 OK Primary

Addresses

Primary practice location

1800 Renaissance Blvd
Edmond, OK 73013-3023

Mailing address

608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Phone (405) 272-9641

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
I20090720000384 OK Practitioner - Anesthesiology 7618029828 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Scheduling Services, P.C.Group PAC ID 9830084375, 55 clinicians

Practice addresses (Care Compare)

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 359-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24460OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial Hospital, Inc CurrentSince Jun 1, 2025 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
Great Plains Anesthesia, PLLC Anesthesiology CurrentSince Oct 15, 2019 Accepting new patients
Anesthesia Scheduling Services PC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Newman Memorial Hospital, Inc CurrentSince Jun 1, 2025 Accepting new patients
Midtown Anesthesia Consultants PLLC Anesthesiology CurrentSince May 17, 2026 Accepting new patients
Group LLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

901 12th Ave NW
Ardmore, OK 73401
Phone (580) 220-6560

1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400

3840 S Boulevard
Edmond, OK 73013
Phone (405) 232-8696

3840 S Boulevard
Ste 103
Edmond, OK 73013
Phone (405) 455-3937

1000 N Lincoln Blvd
Ste 1
Oklahoma City, OK 73104
Phone (405) 232-8696

14000 N Portland Ave
Ste 100
Oklahoma City, OK 73134
Phone (405) 936-8100

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

608 NW 9th St
Ste 6210
Oklahoma City, OK 73102
Phone (405) 272-9641

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

Organizations & group practices 8

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 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1467591958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021069",
            "telephone_number": "405-272-9641",
            "fax_number": "405-235-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-359-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLER",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "24460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.