Active NPI
Jimmy Michael Kerley, MD
- Radiation Oncology Physician
- Lawton, OK
National Provider Identifier
1508803156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 30531
- Practice address
- 104 NW 31St
Lawton, OK 73505 - Phone
- (580) 536-2121
- Fax
- (580) 536-2150
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G3515 | TX | |
| Hematology & Oncology Physician | 207RH0003X | G3515 | TX | |
| Internal Medicine Physician | 207R00000X | G3515 | TX | |
| Radiation Oncology Physician | 2085R0001X | 30531 | OK | Primary |
Addresses
Primary practice location
104 NW 31St
Lawton, OK 73505
Mailing address
PO Box 6130
Lawton, OK 73506
Phone (580) 536-2121
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138876102 | Medicaid | TX | |
| 138876106 | Medicaid | TX | |
| 13876404 | Medicaid | TX | |
| 138876112 | Medicaid | TX | |
| 8R1484 | Other | TX | BLUE CROSS OF TX |
| 138876101 | Medicaid | TX | |
| 138876105 | Medicaid | TX | |
| 138876108 | Medicaid | TX | |
| 100101320A | Medicaid | OK | |
| 138876111 | Medicaid | TX |
Other names 1
- Dr. J Michael Kerley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.44 of 100
- Quality
- 82.93
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 48.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30531 | OK | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Interoperability endpoints
- mkerley@yourcarecommunity.org
- jkerley939122@direct.sw.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1508803156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6130",
"city": "LAWTON",
"state": "OK",
"postal_code": "73506",
"telephone_number": "580-536-2121",
"fax_number": "580-536-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 NW 31ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "73505",
"telephone_number": "580-536-2121",
"fax_number": "580-536-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERLEY",
"first_name": "JIMMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "G3515",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "G3515",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G3515",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OK",
"license": "30531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13876404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876112",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TX",
"identifier": "8R1484",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876108",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100101320A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138876111",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "KERLEY",
"middle_name": "MICHAEL",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.