Active NPI
Rodney Clingan, M.D.
- Colon & Rectal Surgery Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 21220
- Practice address
- 1705 E 19TH St Ste 502
Tulsa, OK 74104-5416 - Phone
- (918) 748-7800
- Fax
- (918) 748-7801
- NPI assigned
- Mar 31, 2006
- Last updated
- Oct 2, 2020
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 21220 | OK | Primary |
Addresses
Primary practice location
1705 E 19TH St Ste 502
Tulsa, OK 74104-5416
Mailing address
1705 E 19TH St Ste 502
Tulsa, OK 74104-5416
Phone (918) 748-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100164660B | 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
- Colorectal Surgery (Proctology)
- Education
- Texas Tech University Health Science Center School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 118 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21220 | OK | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Colon & Rectal Surgery | Current | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients | |
| Colon & Rectal Clinic of Tulsa PC | Colon & Rectal Surgery | Past | Accepting new patients |
| Midtown Dermatology LLC | Past | Accepting new patients | |
| Center for Cardiovascular Medicine | Past | Accepting new patients |
Locations
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 705
Tulsa, OK 74104
Phone (918) 744-7887
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
Colon & Rectal Surgery
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Cardiovascular Disease Physician
- Tulsa, OK
- NPI 1801819024
-
- Colon & Rectal Surgery Physician
- Tulsa, OK
- NPI 1598878126
-
- Dermatology Physician
- Tulsa, OK
- NPI 1750400230
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John Owasso
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1669433421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E 19TH ST STE 502",
"city": "TULSA",
"state": "OK",
"postal_code": "741045416",
"telephone_number": "918-748-7800",
"fax_number": "918-748-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 E 19TH ST STE 502",
"city": "TULSA",
"state": "OK",
"postal_code": "741045416",
"telephone_number": "918-748-7800",
"fax_number": "918-748-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINGAN",
"first_name": "RODNEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OK",
"license": "21220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100164660B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.