Individual provider Active NPI

Jeremy Scheidt, MD

  • Internal Medicine Physician
  • Yukon, OK
National Provider Identifier
1669960191
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37924 Issued in OK
Practice address
9217 NW 82ND St
Yukon, OK 73099-5594
Phone
(903) 821-0545
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 37924 OK Primary

Addresses

Primary practice location

9217 NW 82ND St
Yukon, OK 73099-5594

Mailing address

9217 NW 82ND St
Yukon, OK 73099-5594
Phone (903) 821-0545

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
I20220110000597 OK Practitioner - Internal Medicine 4183028244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Dec 3, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Jun 14, 2022 Accepting new patients
Midwest Hospital Medicine Associates PC CurrentSince Jun 28, 2021 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

1201 Health Center Pkwy
#P
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: jscheidt219956@direct.integrisok.com

Organizations & group practices 4

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 3

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1669960191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 NW 82ND ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995594",
            "telephone_number": "903-821-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 NW 82ND ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995594",
            "telephone_number": "903-821-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDT",
        "first_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "37924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.