Individual provider Active NPI

David Speegle, MD

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1477695864
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25090 Issued in OK
Practice address
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013-3043
Phone
(405) 844-8572
Fax
(405) 844-9143
NPI assigned
Feb 13, 2007
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25090 OK Primary

Addresses

Primary practice location

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013-3043

Mailing address

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013-3084
Phone (405) 844-4978

Other identifiers 1

IdentifierTypeStateIssuer
200177880AMedicaidOK

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
I20091123000208 OK Practitioner - Family Practice 7618016122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Arthritis Center, P.C.Group PAC ID 0446239743, 45 clinicians

Practice addresses (Care Compare)

1705 Renaissance Blvd
Edmond, OK 73013-3041
Phone (405) 844-8572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.12 of 100Reported as group
Quality
64.14
Promoting interoperability
75
Improvement activities
40
Cost
70.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Arthritis Center, P.C. CurrentSince Oct 1, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1700 S State St
Edmond, OK 73013
Phone (405) 330-1003

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978

1705 Renaissance Blvd
Edmond, OK 73013
Phone (405) 844-3800

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

825 E Owen K Garriott Rd
Enid, OK 73701
Phone (580) 701-2586

Interoperability endpoints

  • Direct secure messaging: davidspeegle@oac.allscriptsdirect.net

Organizations & group practices 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1477695864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD",
            "address_2": "STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133084",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 RENAISSANCE BLVD",
            "address_2": "STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133043",
            "telephone_number": "405-844-8572",
            "fax_number": "405-844-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEEGLE",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200177880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.