NPIMap

Individual provider Active NPI

Gabriel Vidal, M.D.

  • Radiation Oncology Physician
  • Oklahoma City, OK
National Provider Identifier
1487032116
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
31625 Issued in OK
Practice address
800 NE 10TH St # L100
Oklahoma City, OK 73104-5418
Phone
(405) 271-5641
Fax
(405) 271-8297
NPI assigned
May 14, 2015
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 31625 OK
Radiation Oncology Physician 2085R0001X 31625 OK Primary

Addresses

Primary practice location

800 NE 10TH St # L100
Oklahoma City, OK 73104-5418

Mailing address

800 NE 10TH St # L100
Oklahoma City, OK 73104-5418
Phone (405) 271-5641

Other practice location 1

5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6530

Other practice location 2

901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 307-1703

Other practice location 3

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 233-2300

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
I20190115000760 OK Practitioner - Radiation OncologyPractitioner - Internal Medicine 3971895590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Care Physician Services LLCGroup PAC ID 5092839357, 11 clinicians

Practice addresses (Care Compare)

104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121

1409 Territories Dr
Edmond, OK 73034-2650
Phone (405) 657-3120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
58.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31625OKMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Centers of Southwest Oklahoma, LLC Radiation Oncology Current Accepting new patients
Premier Paradox Inc CurrentSince Jan 23, 2024 Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC Radiation Oncology CurrentSince Jan 13, 2025 Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC CurrentSince Jan 13, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Select Specialty Hospital - Oklahoma City Inc Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

1200 E Broadway St
Altus, OK 73521
Phone (580) 379-6000

2465 N Whisenant Dr
Ste 100
Duncan, OK 73533
Phone (580) 251-6600

104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121

3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700

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 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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1487032116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE 10TH ST # L100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045418",
            "telephone_number": "405-271-5641",
            "fax_number": "405-271-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 10TH ST # L100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045418",
            "telephone_number": "405-271-5641",
            "fax_number": "405-271-8297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5911 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731422015",
            "country_code": "US",
            "telephone_number": "405-773-6530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716404",
            "country_code": "US",
            "telephone_number": "405-307-1703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017211",
            "country_code": "US",
            "telephone_number": "580-233-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "31625",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "31625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.