Active NPI
Jarrod James Mueggenborg, D.O.
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4935
- Practice address
- 4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223 - Phone
- (405) 636-7195
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4935 | OK | Primary |
Addresses
Primary practice location
4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223
Mailing address
4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223
Phone (405) 636-7195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200297210A | 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.69 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients | |
| Integris Baptist Medical Center Inc | Past | Accepting new patients | |
| Integris Health Edmond, Inc | Past | Accepting new patients | |
| Land Run Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
13500 S Tulsa Dr
Oklahoma City, OK 73170
Phone (405) 713-2696
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
dba Integris Health Baptist Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
dba INTEGRIS Health Edmond Hospital
- General Acute Care Hospital
- Edmond, OK
- NPI 1720373103
-
dba Integris Health Southwest Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
- Emergency Medicine Physician
- Enid, OK
- NPI 1215183355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1629389432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 S DOUGLAS AVE",
"address_2": "SUITE 306",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093223",
"telephone_number": "405-636-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 S DOUGLAS AVE",
"address_2": "SUITE 306",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093223",
"telephone_number": "405-636-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUEGGENBORG",
"first_name": "JARROD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200297210A",
"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 Dec 15, 2011; 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.