Active NPI
Lawrence J Gregg, MD
- Dermatology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9455
- Practice address
- 2121 E 21St St
Tulsa, OK 74114-1409 - Phone
- (918) 749-2261
- Fax
- (918) 749-8712
- NPI assigned
- Sep 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9455 | OK | Primary |
Addresses
Primary practice location
2121 E 21St St
Tulsa, OK 74114-1409
Mailing address
PO Box 52588
Tulsa, OK 74152-0588
Phone (918) 749-2261
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730776171002 | Other | BLUE CROSS BLUE SHIELD | |
| 100116590A | Medicaid | OK | |
| 876735 | Other | AETNA HMO | |
| 4053536 | Other | AETNA PPO | |
| 9455 | Other | OK | MEDICAL LICENSE NUMBER |
| 070004141 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Oklahoma College of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 NE 13TH St
Oklahoma City, OK 73104-5040
Phone (405) 271-3445
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 31 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
1000 NE 13th St
Ste 1C
Oklahoma City, OK 73104
Phone (405) 271-5604
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
619 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-5831
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1528054467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52588",
"city": "TULSA",
"state": "OK",
"postal_code": "741520588",
"telephone_number": "918-749-2261",
"fax_number": "918-749-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741141409",
"telephone_number": "918-749-2261",
"fax_number": "918-749-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "LAWRENCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "9455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "730776171002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100116590A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "876735",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4053536",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "9455",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070004141",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.