Individual provider Active NPI

Gregory Ross Pittman, M.D.

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1679538938
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15668 Issued in OK
Practice address
8803 S 101St East Ave
Ste. 320
Tulsa, OK 74133-5726
Phone
(918) 294-8000
Fax
(918) 294-0006
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15668 OK Primary

Addresses

Primary practice location

8803 S 101St East Ave
Ste. 320
Tulsa, OK 74133-5726

Mailing address

8803 S 101St East Ave
Ste. 320
Tulsa, OK 74133-5726
Phone (918) 294-8000

Other identifiers 1

IdentifierTypeStateIssuer
100137440AMedicaidOK

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
I20041109000329 OK Practitioner - General Surgery 6406840933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000

8803 S 101St E Ave
Tulsa, OK 74133-5732

Hospital & facility affiliations

  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)13
Upper gastrointestinal (GI) endoscopy for acid reflux43
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jan 30, 2012 Accepting new patients
Ahs Oklahoma Physician Group LLC Surgery CurrentSince Jan 30, 2012 Accepting new patients
South Tulsa Medical Group LLC Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
James a Johnson Jr M D Inc Surgery Past Accepting new patients

Locations

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

8803 S 101st East Ave
Ste 390
Tulsa, OK 74133
Phone (918) 294-8000

Dept 1206
Tulsa, OK 74182

8803 S 101st East Ave
Ste 280
Tulsa, OK 74133
Phone (918) 294-8000

8803 S 101st East Ave
Tulsa, OK 74133
Phone (918) 250-2033

8803 S 101st East Ave
Ste 320
Tulsa, OK 74133
Phone (918) 250-7625

1145 S Utica Ave
Ste 314
Tulsa, OK 74104
Phone (918) 583-6277

1809 E 13th St
Ste 400
Tulsa, OK 74104
Phone (918) 599-8200

Interoperability endpoints

  • Direct secure messaging: gpittman106971@ahs.direct-ci.com
  • Direct secure messaging: gregory.pittman@direct.stjohnhealthsystem.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1679538938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "STE. 320",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-294-8000",
            "fax_number": "918-294-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "STE. 320",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-294-8000",
            "fax_number": "918-294-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "GREGORY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "15668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.