Individual provider Active NPI

Larry Martin Hytche, PA

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1558666909
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1975 Issued in OK
Practice address
1705 E 19TH St
Suite 302
Tulsa, OK 74104-5405
Phone
(918) 748-7585
Fax
(918) 748-7539
NPI assigned
Jan 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1975 OK Primary

Addresses

Primary practice location

1705 E 19TH St
Suite 302
Tulsa, OK 74104-5405

Mailing address

1705 E 19TH St Ste 302
Tulsa, OK 74104-5410
Phone (918) 832-6049

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110301000722 OK Practitioner - Physician Assistant 6507047206 Reassigns benefits to 7 organizations
I20250423003794 TX Practitioner - Physician Assistant 6507047206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Ies HSP Oklahoma LLCGroup PAC ID 2163863341, 14 clinicians

Practice addresses (Care Compare)

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300

111 N Bailey St
Hillcrest Hospital Pryor
Pryor, OK 74361-4201
Phone (918) 825-1600

1202 N Muskogee PL
Hillcrest Hospital Claremore
Claremore, OK 74017-3058
Phone (918) 341-2556

508 Hwy 271 N
Antlers Community Clinic
Antlers, OK 74523
Phone (539) 316-6391

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700

6901 S Olympia Ave
Tulsa Spine and Specialty Hospital
Tulsa, OK 74132-1843
Phone (918) 388-5701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

Merit-based Incentive Payment System (MIPS)

Final score
66.46 of 100Reported as group
Improvement activities
20
Cost
68.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1975OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Apr 14, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 14, 2025 Accepting new patients
St. John Physicians, Inc CurrentSince Feb 11, 2011 Accepting new patients
Crossover Health Services Inc CurrentSince Jul 16, 2023 Accepting new patients
St. John Physicians, Inc. Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

508 Highway 271 N
Antlers, OK 74523
Phone (580) 326-9725

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1000 W Boise Cir
Fl 3
Broken Arrow, OK 74012
Phone (918) 682-6161

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Interoperability endpoints

  • Direct secure messaging: lhytche496153@ahs.direct-ci.com
  • Direct secure messaging: larry.hytche@direct.stjohnhealthsystem.com
  • FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1558666909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045410",
            "telephone_number": "918-832-6049",
            "fax_number": "918-832-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST",
            "address_2": "SUITE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045405",
            "telephone_number": "918-748-7585",
            "fax_number": "918-748-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYTCHE",
        "first_name": "LARRY",
        "middle_name": "MARTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.