Individual provider Active NPI

J Dustin Rosenhamer, MD

  • Neurology Physician
  • Edmond, OK
National Provider Identifier
1558658138
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28605 Issued in OK
Practice address
2216 NW 164TH St
Ste a
Edmond, OK 73013-9078
Phone
(405) 755-1515
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 28605 OK Primary

Addresses

Primary practice location

2216 NW 164TH St
Ste a
Edmond, OK 73013-9078

Mailing address

2108 NW 173Rd St
Edmond, OK 73012-7148
Phone (405) 410-2477

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
I20111028000462 OK Practitioner - Neurology 0840463378 Reassigns benefits to 1 organization
Practice locations: Edmond, OK

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1245 S Utica Ave
Suite 300
Tulsa, OK 74104-4214
Phone (918) 382-2536

Hospital & facility affiliations

  • Truheart Home Health Home health agency, Tulsa, OK, CCN 377615
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Neurology CurrentSince Aug 1, 2021 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Aug 1, 2021 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

9001 S 101st East Ave
Ste 300
Tulsa, OK 74133
Phone (918) 392-5424

1245 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 382-2536

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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 6

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1558658138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 NW 173RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127148",
            "telephone_number": "405-410-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 NW 164TH ST",
            "address_2": "STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139078",
            "telephone_number": "405-755-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENHAMER",
        "first_name": "J",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "28605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.