NPIMap

Individual provider Active NPI

John Kelley Gearhart, M.D.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1609853175
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10175 Issued in OK
Practice address
6528 E 101St St
Ste I
Tulsa, OK 74133-6724
Phone
(918) 392-5588
Fax
(918) 392-5597
NPI assigned
Dec 27, 2005
Last updated
May 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10175 OK Primary

Addresses

Primary practice location

6528 E 101St St
Ste I
Tulsa, OK 74133-6724

Mailing address

6528 E 101St St
Ste. 1
Tulsa, OK 74133-6724
Phone (918) 392-5588

Other identifiers 1

IdentifierTypeStateIssuer
100106190AMedicaidOK

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
I20070124000185 OK Practitioner - Family Practice 5294736914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1973
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)

6528 E 101St St
Suite I
Tulsa, OK 74133-6779
Phone (918) 392-5588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10175OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2011 Accepting new patients
Phoenix Healthcare LLC Past Accepting new patients

Locations

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

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

6528 E 101st St
Ste I
Tulsa, OK 74133
Phone (918) 294-4803

9001 S 101st East Ave
Ste 270
Tulsa, OK 74133
Phone (918) 392-5470

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

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: jgearhart113191@ahs.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1609853175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 E 101ST ST",
            "address_2": "STE. 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336724",
            "telephone_number": "918-392-5588",
            "fax_number": "918-392-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6528 E 101ST ST",
            "address_2": "STE I",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336724",
            "telephone_number": "918-392-5588",
            "fax_number": "918-392-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "JOHN",
        "middle_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.