NPIMap

Individual provider Active NPI

Robert C Harris, M.D,

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1528061652
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15903 Issued in OK
Practice address
3820 E 51St St
Ste B
Tulsa, OK 74135-3610
Phone
(918) 665-6799
NPI assigned
May 23, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 15903 OK Primary

Addresses

Primary practice location

3820 E 51St St
Ste B
Tulsa, OK 74135-3610

Mailing address

3820 E 51St St
Ste B
Tulsa, OK 74135-3610
Phone (918) 665-6799

Other identifiers 1

IdentifierTypeStateIssuer
100074060AMedicaidOK

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
I20101104001041 OK Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7517094923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
University of Arkansas College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Wound Specialists LLCGroup PAC ID 4284086828, 12 clinicians

Practice addresses (Care Compare)

3105 E Skelly Dr
Suite 310
Tulsa, OK 74105-6371
Phone (918) 954-1083

Hospital & facility affiliations

  • Suncrest Hospice Hospice, Tulsa, OK, CCN 371729
  • Ascension St John Rehab Hospital of Broken Arrow Inpatient rehabilitation facility, Broken Arrow, OK, CCN 373034
  • Green Country Care Center Nursing home, Tulsa, OK, CCN 375421

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15903OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Harris MD PA Internal Medicine CurrentSince Jun 7, 2010 Accepting new patients
Paradigm Wound Specialists LLC CurrentSince Jan 1, 2024 Accepting new patients
National Family Medical Associates, LLC Internal Medicine Past Accepting new patients
Phoenix Healthcare LLC Past Accepting new patients
Post Acute Specialty Hospital of Tulsa LLC Past Accepting new patients

Locations

3105 E Skelly Dr
Ste 310
Tulsa, OK 74105
Phone (918) 599-7404

3820 E 51st St
Ste B
Tulsa, OK 74135
Phone (918) 665-6799

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Green Country Care CenterTulsa, OK, CCN 375421 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2016
Jul 23, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1528061652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 E 51ST ST",
            "address_2": "STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353610",
            "telephone_number": "918-665-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 E 51ST ST",
            "address_2": "STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353610",
            "telephone_number": "918-665-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-09-19",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.