Individual provider Active NPI

Travis Griffiths, MD

  • Sports Medicine (Family Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1619467610
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
38243 Issued in OK
Practice address
8803 S 101St East Ave Ste 100
Tulsa, OK 74133-7546
Phone
(918) 574-0220
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38243 OK
Family Medicine Physician 207Q00000X MRM-1732 ID
Sports Medicine (Family Medicine) Physician 207QS0010X 38243 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X 38243 OK

Addresses

Primary practice location

8803 S 101St East Ave Ste 100
Tulsa, OK 74133-7546

Mailing address

1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3827

Other practice location 1

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 2

900 NE 10th St # 2616
Oklahoma City, OK 73104-5420
Phone (405) 271-8818

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dianne-baker@ouhsc.edu

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211026002232 OK Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Emergency Medicine 9739437286 Reassigns benefits to 4 organizations
I20231207002661 TX Practitioner - Orthopedic Surgery 9739437286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Utah School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians
Osage Nation Si-Si a-Pe-TxaGroup PAC ID 2769847912, 13 clinicians

Practice addresses (Care Compare)

1809 E 13TH St
Tulsa, OK 74104-4431

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

715 Grandview Ave
Pawhuska, OK 74056-3201
Phone (918) 287-9335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MRM-1732IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osage Nation Si-Si a-Pe-Txa CurrentSince Nov 7, 2023 Accepting new patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Nov 9, 2021 Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Sep 21, 2021 Accepting new patients

Locations

2431 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 333-5233

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

15702 E State Highway 9
Norman, OK 73026
Phone (405) 447-0300

715 Grandview Ave
Pawhuska, OK 74056
Phone (918) 287-4491

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

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

Dept 1206
Tulsa, OK 74182

1809 E 13th St
Ste 402
Tulsa, OK 74104
Phone (918) 579-2300

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

8803 S 101st East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 574-0220

Interoperability endpoints

  • Direct secure messaging: tgriffiths702214@ahs.direct-ci.com
  • 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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1619467610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044013",
            "telephone_number": "918-579-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337546",
            "telephone_number": "918-574-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N Raymond St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049251",
            "country_code": "US",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 NE 10th St # 2616",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045420",
            "country_code": "US",
            "telephone_number": "405-271-8818",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "38243",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1732",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OK",
            "license": "38243",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "38243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dianne-baker@ouhsc.edu",
            "affiliation": "N",
            "endpointDescription": "Program coordinator",
            "address_1": "900 NE 10th St # 2616",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731045420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.