Individual provider Active NPI

Ross Stanford Keener, M.D.

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1639153554
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
23196 Issued in OK
Practice address
4201 S Western Ave
Oklahoma City, OK 73109-3410
Phone
(406) 632-4000
NPI assigned
Dec 5, 2005
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 23196 OK Primary

Addresses

Primary practice location

4201 S Western Ave
Oklahoma City, OK 73109-3410

Mailing address

4201 S Western Ave
Oklahoma City, OK 73109-3410
Phone (406) 632-4000

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
I20100810000899 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 0042315491 Reassigns benefits to 3 organizations
I20251216003185 TX Practitioner - Gastroenterology 0042315491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Specialists IncGroup PAC ID 7315939279, 18 clinicians

Practice addresses (Care Compare)

10029 N Oklahoma Ave
Suite 200
Oklahoma City, OK 73114-7454
Phone (405) 702-1300

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

4201 S Western Ave
Oklahoma City, OK 73109-3410
Phone (405) 702-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy140
Upper gastrointestinal (GI) endoscopy for acid reflux182

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ddsi Endoscopy Centers LLC Current Accepting new patients
Integris Ddsi Endoscopy Centers LLC CurrentSince Feb 1, 2021 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Dec 2, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Dec 2, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

10029 N Oklahoma Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 702-1300

3366 NW Expressway St
Ste 400
Oklahoma City, OK 73112
Phone (405) 702-1300

4201 S Western Ave
Oklahoma City, OK 73109
Phone (405) 632-4000

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: rkeener22822@direct.integrisok.com

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, 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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1639153554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093410",
            "telephone_number": "406-632-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093410",
            "telephone_number": "406-632-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "ROSS",
        "middle_name": "STANFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "23196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.