NPIMap

Individual provider Active NPI

Talla Akram Rousan, MD

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1497915672
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
26359 Issued in OK
Practice address
5224 E I 240 Service Rd Ste 303
Oklahoma City, OK 73135-2607
Phone
(405) 608-3800
Fax
(405) 972-7534
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26359 OK
Cardiovascular Disease Physician 207RC0000X 26359 OK
Nuclear Cardiology Physician 207UN0901X 26359 OK
Interventional Cardiology Physician 207RI0011X 26359 OK Primary

Addresses

Primary practice location

5224 E I 240 Service Rd Ste 303
Oklahoma City, OK 73135-2607

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other practice location 1

4050 W Memorial Rd Fl 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Other practice location 2

3 E Clark Bass Blvd Ste 1-2
McAlester, OK 74501-4283
Phone (918) 558-2901

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trousan@direct.okheart.com Direct

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
I20150821012912 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315252202 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAlester Regional Health Center AuthorityGroup PAC ID 6709796436, 46 clinicians
McCurtain Memorial Medical Management, Inc.Group PAC ID 8022926252, 14 clinicians
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

1 E Clark Bass Blvd
McAlester, OK 74501-4209

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 208-3103

5224 E I-240 Service Rd
303 Smob 303
Oklahoma City, OK 73135-2670
Phone (405) 628-6378

Hospital & facility affiliations

  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337
  • McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26359OKMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McCurtain Memorial Medical Management, Inc. CurrentSince Feb 25, 2024 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Aug 16, 2023 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Aug 30, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Sep 1, 2015 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Sep 1, 2015 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

3 E Clark Bass Blvd
Ste 12
McAlester, OK 74501
Phone (918) 558-2901

3 E Clark Bass Blvd
Ste 1
McAlester, OK 74501
Phone (918) 421-6029

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

5224 E I 240 Service Rd
Ste 303
Oklahoma City, OK 73135
Phone (405) 628-6378

825 NE 10th St
Ste 2500
Oklahoma City, OK 73104
Phone (405) 271-7001

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

Interoperability endpoints

  • Direct secure messaging: trousan23251@direct.okheart.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1497915672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 E I 240 SERVICE RD STE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352607",
            "telephone_number": "405-608-3800",
            "fax_number": "405-972-7534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 W Memorial Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208382",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 E Clark Bass Blvd Ste 1-2",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014283",
            "country_code": "US",
            "telephone_number": "918-558-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSAN",
        "first_name": "TALLA",
        "middle_name": "AKRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "26359",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "26359",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OK",
            "license": "26359",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "26359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trousan@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.