Individual provider Active NPI

Robert Arnold Todd, M.D.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1629122627
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24233 Issued in OK
Practice address
1819 E 19TH St Ste 302
Tulsa, OK 74104-5414
Phone
(918) 742-0552
NPI assigned
Jan 23, 2007
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 24233 OK Primary

Addresses

Primary practice location

1819 E 19TH St Ste 302
Tulsa, OK 74104-5414

Mailing address

3560 S Boulevard St
Edmond, OK 73013-5413
Phone (405) 715-2999

Other identifiers 1

IdentifierTypeStateIssuer
200197960AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000719 OK Practitioner - Family PracticePractitioner - Emergency Medicine 4587737747 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

11808 S May Ave
Oklahoma City, OK 73170-2560
Phone (405) 735-2370

1819 E 19TH St
Suite 302
Tulsa, OK 74104-5414
Phone (918) 742-0552

3321 W Tecumseh Rd
Suite 125
Norman, OK 73072-1857
Phone (405) 307-6900

3400 W Tecumseh Rd
Suite 100
Norman, OK 73072-1810
Phone (405) 307-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24233OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Services PC CurrentSince Jan 1, 2011 Accepting new patients
Immediate Care of Oklahoma LLC CurrentSince Jul 1, 2014 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Jan 1, 2011 Accepting new patients
South Central Emergency Services PC CurrentSince Feb 11, 2011 Accepting new patients
Gtoddmed PLLC CurrentSince Jan 1, 2023 Accepting new patients
Immediate Care of Oklahoma CurrentSince Jul 1, 2014 Accepting new patients
Summit Medical Center Past Accepting new patients
Deaconess Physician Services LLC Family Medicine Past Accepting new patients

Locations

805 W Covell Rd
Edmond, OK 73003
Phone (405) 820-4024

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5700 SE 74th St
Ste 100
Oklahoma City, OK 73135
Phone (405) 400-1096

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1819 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 742-0552

Interoperability endpoints

  • Direct secure messaging: robert.todd.1@30106.direct.athenahealth.com
  • Direct secure messaging: robert.todd@925456318660612.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1629122627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135413",
            "telephone_number": "405-715-2999",
            "fax_number": "405-715-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E 19TH ST STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045414",
            "telephone_number": "918-742-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "ROBERT",
        "middle_name": "ARNOLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.