Active NPI
Michael Alpheus Tribbey, MD
- Neurology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 11840
- Practice address
- 4120 W Memorial Rd
Suite 218
Oklahoma City, OK 73120-9322 - Phone
- (405) 302-2661
- Fax
- (405) 302-2670
- NPI assigned
- Feb 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11840 | OK | Primary |
Addresses
Primary practice location
4120 W Memorial Rd
Suite 218
Oklahoma City, OK 73120-9322
Mailing address
4401 W Memorial Rd
Suite 140
Oklahoma City, OK 73134-1785
Phone (405) 752-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100117490A | 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
- Neurology
- Education
- University of Oklahoma College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1122 NE 13TH St
Ori274J
Oklahoma City, OK 73117-1039
4120 W Memorial Rd
Suite 218
Oklahoma City, OK 73120-9322
4401 W Memorial Rd
Oklahoma City, OK 73134-1787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11840 | OK | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Neurology | Current | Accepting new patients |
| Medical Neurologists Inc | Neurology | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
825 NE 10th St
#5B
Oklahoma City, OK 73104
Phone (405) 271-3635
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
4120 W Memorial Rd
Ste 218
Oklahoma City, OK 73120
Phone (405) 302-2661
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
Neurology
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- Neurology Physician
- Oklahoma City, OK
- NPI 1306926928
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1629040506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "SUITE 140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-752-3162",
"fax_number": "405-936-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 W MEMORIAL RD",
"address_2": "SUITE 218",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209322",
"telephone_number": "405-302-2661",
"fax_number": "405-302-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBBEY",
"first_name": "MICHAEL",
"middle_name": "ALPHEUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "11840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100117490A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.