Individual provider Active NPI

Kevin Wayne Hargrove, M.D.

  • Specialist
  • Edmond, OK
National Provider Identifier
1538158985
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16493 Issued in OK
Practice address
101 S Saints Blvd Ste 101
Edmond, OK 73034-3082
Phone
(405) 513-8326
Fax
(405) 513-7739
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16493 OK Primary

Addresses

Primary practice location

101 S Saints Blvd Ste 101
Edmond, OK 73034-3082

Mailing address

101 S Saints Blvd Ste 101
Edmond, OK 73034-3082
Phone (405) 513-8326

Other identifiers 1

IdentifierTypeStateIssuer
100101900AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001008 OK Practitioner - Orthopedic Surgery 0345228516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Solutions PLLCGroup PAC ID 8628352606, 3 clinicians

Practice addresses (Care Compare)

101 S Saints Blvd
Suite 101
Edmond, OK 73034-3082
Phone (405) 513-8326

Hospital & facility affiliations

  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212

Merit-based Incentive Payment System (MIPS)

Final score
37.75 of 100Reported as group
Quality
71.03
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Solutions PLLC CurrentSince Aug 13, 2016 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

101 S Saints Blvd
Ste 101
Edmond, OK 73034
Phone (405) 359-1864

Interoperability endpoints

  • Direct secure messaging: kevin.hargrove.1@19205.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19205/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1538158985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAINTS BLVD STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343082",
            "telephone_number": "405-513-8326",
            "fax_number": "405-513-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAINTS BLVD STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343082",
            "telephone_number": "405-513-8326",
            "fax_number": "405-513-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "16493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.