NPIMap

Individual provider Active NPI

Romeo Lapus Obsequio, MD

  • Internal Medicine Physician
  • Miami, OK
National Provider Identifier
1508839093
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21553 Issued in OK
Practice address
310 2ND Ave SW Ste 105
Miami, OK 74354-6708
Phone
(918) 542-5551
Fax
(918) 542-1555
NPI assigned
Feb 7, 2006
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21553 OK Primary

Addresses

Primary practice location

310 2ND Ave SW Ste 105
Miami, OK 74354-6708

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (918) 542-5551

Other identifiers 2

IdentifierTypeStateIssuer
100248490AMedicaidOK
200468380PMedicaidOK

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
I20091203000434 OK Practitioner - Internal Medicine 7517006547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Miami HospitalGroup PAC ID 1254235468, 10 clinicians

Practice addresses (Care Compare)

30 B St SW
Integris Miami Physicians Clinic
Miami, OK 74354-6808
Phone (918) 542-5551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21553OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Miami Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Integris Miami Hospital Current Accepting new patients
Integris Miami Hospital CurrentSince Apr 1, 2021 Accepting new patients
Cardiology Clinic of Muskogee, Inc. Internal Medicine Past Accepting new patients
Integris Miami Hospital Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Rural Health Inc Past Accepting new patients

Locations

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

310 2nd Ave SW
Ste 105
Miami, OK 74354
Phone (918) 542-2812

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4
  • Direct secure messaging: robsequio17278@direct.integrisok.com

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1508839093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "918-542-5551",
            "fax_number": "918-542-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW STE 105",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546708",
            "telephone_number": "918-542-5551",
            "fax_number": "918-542-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBSEQUIO",
        "first_name": "ROMEO",
        "middle_name": "LAPUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248490A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468380P",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.