Individual provider Active NPI

Jawad Trad, D.O

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1669770145
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5126 Issued in OK
Practice address
2100 S Utica Ave Ste 202
Tulsa, OK 74114-1437
Phone
(918) 932-3836
Fax
(918) 203-0027
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5126 OK
Internal Medicine Physician 207R00000X 5126 OK Primary

Addresses

Primary practice location

2100 S Utica Ave Ste 202
Tulsa, OK 74114-1437

Mailing address

2100 S Utica Ave Ste 202
Tulsa, OK 74114-1437
Phone (918) 932-3836

Other identifiers 1

IdentifierTypeStateIssuer
200469330BMedicaidOK

Other names 1

  • Dr. T.J. Trad Other name

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
I20140320002097 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092946855 Reassigns benefits to 4 organizations
I20240628000595 TX Practitioner - Osteopathic Manipulative Medicine 5092946855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 W 6TH Ave
Suite 207
Stillwater, OK 74074-4381
Phone (405) 533-6990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5126OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince May 31, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Leflore County Hospital Authority CurrentSince Jun 1, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince May 31, 2024 Accepting new patients
Northeastern Health System CurrentSince Mar 1, 2024 Accepting new patients
Stillwater Medical Center Authority CurrentSince Aug 1, 2016 Accepting new patients
Northeastern Health System Current Accepting new patients
Leflore County Hospital Authority CurrentSince Jun 1, 2023 Accepting new patients
Cura Telehealth and Wellness, P.a. CurrentSince Sep 1, 2024 Accepting new patients
Northeastern Health System CurrentSince Mar 1, 2024 Accepting new patients
Stillwater Medical Center Authority CurrentSince Aug 1, 2016 Accepting new patients
Stillwater Medical Center Authority Internal Medicine Current Accepting new patients
Stillwater Medical Center Physicians Internal Medicine Past Accepting new patients
Blackwell Hospital Trust Authority Internal Medicine Past Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

104 Wall St
Poteau, OK 74953
Phone (918) 635-3578

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1301 W 6th Ave
Ste 207
Stillwater, OK 74074
Phone (405) 533-3010

1301 W 6th Ave
Ste 208
Stillwater, OK 74074
Phone (405) 533-3010

1323 W 6th Ave
Ste 201
Stillwater, OK 74074
Phone (405) 533-3010

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

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

6130 E 81st St
Tulsa, OK 74137
Phone (918) 401-1002

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: dr.trad.d1.p1@direct.smc.nextgenshare.com
  • Direct secure messaging: ttrad714376@directa.mercy.net

Organizations & group practices 15

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.

View all 15

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1669770145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S UTICA AVE STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141437",
            "telephone_number": "918-932-3836",
            "fax_number": "918-203-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S UTICA AVE STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141437",
            "telephone_number": "918-932-3836",
            "fax_number": "918-203-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAD",
        "first_name": "JAWAD",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "5126",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "5126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200469330B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T.J.",
            "last_name": "TRAD",
            "prefix": "DR.",
            "credential": "D.O",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.