NPIMap

Individual provider Active NPI

Roy W. Bankhead, MD

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1477594513
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20329 Issued in OK
Practice address
5300 N Grand Blvd
Ste 200
Oklahoma City, OK 73112-5517
Phone
(405) 942-8545
Fax
(405) 947-6854
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20329 OK Primary

Addresses

Primary practice location

5300 N Grand Blvd
Ste 200
Oklahoma City, OK 73112-5517

Mailing address

PO Box 2263
Oklahoma City, OK 73101-2263
Phone (405) 942-8545

Other identifiers 1

IdentifierTypeStateIssuer
100126200BMedicaidOK

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
I20040503000444 OK Practitioner - Urology 9638167497 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Proton Center LLCGroup PAC ID 4183963861, 15 clinicians
Newman Memorial Hospital, IncGroup PAC ID 2567482367, 29 clinicians

Practice addresses (Care Compare)

5700 N Portland Ave
Suite 100
Oklahoma City, OK 73112-1662

5700 N Portland Ave
Suite 318
Oklahoma City, OK 73112-1651
Phone (405) 942-8545

5901 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6700

905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551

Hospital & facility affiliations

  • Family Choice Home Care Oklahoma City Home health agency, Oklahoma City, OK, CCN 377743
  • Integris Home Care Oklahoma City Home health agency, Oklahoma City, OK, CCN 377051
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Northwest Surgical Hospital Hospital, Oklahoma City, OK, CCN 370192
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Merit-based Incentive Payment System (MIPS)

Final score
98.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
95.26

Merit-based Incentive Payment System (MIPS)

Final score
21.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20329OKMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Affiliates of Oklahoma LLC Urology CurrentSince Dec 20, 2016 Accepting new patients
Medical Specialists Inc CurrentSince Nov 1, 2019 Accepting new patients
Roy W Bankhead MD PC Urology CurrentSince Mar 1, 2020 Accepting new patients
Oklahoma Proton Center LLC CurrentSince Apr 1, 2021 Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

5700 N Portland Ave
Ste 100
Oklahoma City, OK 73112
Phone (405) 458-7162

5700 N Portland Ave
Ste 318
Oklahoma City, OK 73112
Phone (405) 942-8545

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

5401 N Portland Ave
Ste 220
Oklahoma City, OK 73112
Phone (405) 604-4321

Dept 960607
Oklahoma City, OK 73196

5401 N Portland Ave
Ste 200
Oklahoma City, OK 73112

5300 N Grand Blvd
Ste 200
Oklahoma City, OK 73112
Phone (405) 942-8545

Interoperability endpoints

  • Direct secure messaging: rbankhead22457@direct.integrisok.com
  • Direct secure messaging: roy.bankhead.1@17407.direct.athenahealth.com

Organizations & group practices 10

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 12

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1477594513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2263",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731012263",
            "telephone_number": "405-942-8545",
            "fax_number": "405-947-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N GRAND BLVD",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125517",
            "telephone_number": "405-942-8545",
            "fax_number": "405-947-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "ROY",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "20329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126200B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.