Individual provider Active NPI

Jessica Therese Erbacher Weber, D.O.

  • Vascular & Interventional Radiology Physician
  • Tulsa, OK
National Provider Identifier
1528397106
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
4585 Issued in OK
Practice address
5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Phone
(918) 747-4975
Fax
(918) 743-8552
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4585 OK
Vascular & Interventional Radiology Physician 2085R0204X 4585 OK Primary

Addresses

Primary practice location

5801 E 41St St Ste 900
Tulsa, OK 74135-5631

Mailing address

PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 747-4975

Other identifiers 1

IdentifierTypeStateIssuer
200277940AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120525000050 OK Practitioner - Diagnostic Radiology 1456514694 Reassigns benefits to 4 organizations
I20120822000334 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1456514694 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oklahoma State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians

Practice addresses (Care Compare)

6752 S Gary Ave
Tulsa, OK 74136-4515
Phone (888) 264-0330

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • St John Owasso Hospital, Owasso, OK, CCN 370227
  • Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
  • Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
86.79
Promoting interoperability
100
Improvement activities
40
Cost
76.43

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
41.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4585OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cancer Specialists and Research Institute LLC Current Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Anadarko Indian Health Center CurrentSince Jun 1, 2015 Accepting new patients
Cherokee Nation CurrentSince Jul 16, 2012 Accepting new patients
Cherokee Nation Current Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC CurrentSince Jul 18, 2016 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Tulsa Cancer Institute PLLC Current Accepting new patients
Clinton Indian Health Center CurrentSince Apr 1, 2015 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Jul 18, 2016 Accepting new patients
Zuni Indian Hospital CurrentSince Feb 23, 2013 Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Cherokee Nation Current Accepting new patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology Past Accepting new patients
St John Medical Center Inc Past Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients
Ctca Physicans Group of Oklahoma, Inc Past Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

4111 S Darlington Ave
Ste 700
Tulsa, OK 74135
Phone (918) 743-8943

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations & group practices 18

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 18

Hospital & facility affiliations 7

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1528397106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590930",
            "telephone_number": "918-747-4975",
            "fax_number": "918-743-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-747-4975",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JESSICA",
        "middle_name": "THERESE ERBACHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "4585",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OK",
            "license": "4585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200277940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.