Individual provider Active NPI

Tara Van Drunen, M.D.

  • Emergency Medicine Physician
  • Lawton, OK
National Provider Identifier
1598787442
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17744 Issued in NV
Practice address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone
(580) 354-5000
NPI assigned
Jul 23, 2006
Sex
Female
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17744 NV Primary
General Practice Physician 208D00000X A93666 CA
Emergency Medicine Physician 207P00000X MED-PHYS-LIC-142025 MT

Addresses

Primary practice location

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002

Mailing address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (805) 354-5000

Other practice location 1

1010 S 7650 E
Crow Agency, MT 59022
Phone (406) 638-3500

Other practice location 2

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, NV, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180713000476 TX Practitioner - Emergency Medicine 1557685757 Reassigns benefits to 4 organizations
I20240911001585 MT Practitioner - Emergency Medicine 1557685757 Reassigns benefits to 3 organizations
I20251103001463 NV Practitioner - Emergency Medicine 1557685757 Reassigns benefits to 1 organization
I20260604003359 OK Practitioner - Emergency Medicine 1557685757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-142025MTMDEmergency Medicine Physician
17744NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Credena Health LLC CurrentSince Feb 1, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Nov 14, 2024 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Nov 14, 2024 Accepting new patients
Providence St Joseph Medical Center Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Anadarko Indian Health Center CurrentSince Jun 29, 2018 Accepting new patients
Lawton Indian Hospital CurrentSince Jun 29, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Feb 9, 2024 Accepting new patients
Team Physicians of Nevada-Scherr, P.C. Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Feb 9, 2024 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jan 21, 2026 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Providence St Joseph Medical Center CurrentSince Feb 1, 2025 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 10

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1598787442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "805-354-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "580-354-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S 7650 E",
            "address_purpose": "LOCATION",
            "city": "Crow Agency",
            "state": "MT",
            "postal_code": "59022",
            "country_code": "US",
            "telephone_number": "406-638-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "fax_number": "406-883-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DRUNEN",
        "first_name": "TARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17744",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A93666",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-142025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.