Active NPI
Jesse Richards, D.O.
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6889
- Practice address
- 4444 E 41St St
Tulsa, OK 74135-2527 - Phone
- (918) 619-4400
- Fax
- (918) 619-4152
- NPI assigned
- May 17, 2016
- Last updated
- Nov 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-08915 | KS | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 6889 | OK | |
| Internal Medicine Physician | 207R00000X | 6889 | OK | Primary |
Addresses
Primary practice location
4444 E 41St St
Tulsa, OK 74135-2527
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 619-4400
Other practice location 1
3901 Rainbow Blvd # MS 2027
Kansas City, KS 66160-8500
Phone (913) 588-3974
Other practice location 2
2106 Olathe MS 1020
Kansas City, KS 66160
Phone (913) 588-5165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200929610A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4444 E 41St St
Suite a 3Rd Floor
Tulsa, OK 74135-2527
Phone (918) 619-4400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-08915 | KS | MD | Internal Medicine Physician |
| 6889 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma Ou Physicians Tulsa | Current | Accepting new patients |
Locations
4444 E 41st St
Ste A
Tulsa, OK 74135
Phone (682) 303-0376
4502 E 41st St
Ste 3J12
Tulsa, OK 74135
4444 E 41st St
Tulsa, OK 74135
1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600
Interoperability endpoints
- jrichards28036@ouhealth.direct-ci.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1154385730
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1598112823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-619-4400",
"fax_number": "918-660-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352527",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4152"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd # MS 2027",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608500",
"country_code": "US",
"telephone_number": "913-588-3974",
"fax_number": "913-588-0593",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2106 Olathe MS 1020",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "66160",
"country_code": "US",
"telephone_number": "913-588-5165",
"fax_number": "913-588-3877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "JESSE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-17",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "94-08915",
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Obesity Medicine",
"state": "OK",
"license": "6889",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "6889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200929610A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.