Individual provider Active NPI

John H Kephart, D.O.

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1649565821
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5761 Issued in OK
Practice address
5801 E. 41St Street
Suite 900
Tulsa, OK 74135-5631
Phone
(918) 934-8347
Fax
(918) 743-8552
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OK
Family Medicine Physician 207Q00000X OT014362 PA
Diagnostic Radiology Physician 2085R0202X 5761 OK Primary

Addresses

Primary practice location

5801 E. 41St Street
Suite 900
Tulsa, OK 74135-5631

Mailing address

PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 934-8347

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
I20200623002088 OK Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7416246434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa X-Ray Laboratory IncGroup PAC ID 4183537426, 29 clinicians
Tulsa X-Ray Laboratory PLLCGroup PAC ID 6103302724, 31 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-1000

5801 E
41St Suite 900
Tulsa, OK 74135-5631

5801 E 41St St
Suite 900
Tulsa, OK 74135-5631
Phone (918) 934-8347

Hospital & facility affiliations

  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT014362PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5701

Interoperability endpoints

  • Direct secure messaging: jkephart292412@ahs.direct-ci.com

Organizations & group practices 2

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 5

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1649565821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590930",
            "telephone_number": "918-934-8347",
            "fax_number": "918-743-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E. 41ST STREET",
            "address_2": "SUITE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-934-8347",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPHART",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014362",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "5761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.