NPIMap

Individual provider Active NPI

Trenton Kinnear, MD

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1538540935
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
43144 Issued in OK
Practice address
3433 NW 56TH St Ste 760
Oklahoma City, OK 73112-4461
Phone
(405) 951-4345
Fax
(405) 951-4392
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 43144 OK
Vascular Surgery Physician 2086S0129X 43144 OK Primary

Addresses

Primary practice location

3433 NW 56TH St Ste 760
Oklahoma City, OK 73112-4461

Mailing address

1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone (865) 305-9230

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
I20240812004348 OK Practitioner - Vascular Surgery 4880945153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

3433 NW 56TH St
Suite 760
Oklahoma City, OK 73112-4461
Phone (405) 951-4345

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43144OKMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC CurrentSince Aug 15, 2024 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Integris Cardiovsacular Physicians Past Accepting new patients

Locations

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Ste 700
Oklahoma City, OK 73112

3433 NW 56th St
Ste 580
Oklahoma City, OK 73112
Phone (405) 917-3518

3433 NW 56th St
Ste 800
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 760
Oklahoma City, OK 73112
Phone (405) 948-0640

Interoperability endpoints

  • Direct secure messaging: tkinnear492022@direct.integrisok.com

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 9

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1538540935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U-11",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9230",
            "fax_number": "865-305-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 760",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124461",
            "telephone_number": "405-951-4345",
            "fax_number": "405-951-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEAR",
        "first_name": "TRENTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "43144",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "43144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.