Individual provider Active NPI

Ronald Allan Stillerman, DO

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1679549166
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3604 Issued in OK
Practice address
5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Phone
(918) 747-4975
Fax
(918) 743-8552
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X OS8335 FL
Diagnostic Radiology Physician 2085R0202X OP61629350 WA
Diagnostic Radiology Physician 2085R0202X 3604 OK Primary

Addresses

Primary practice location

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

Mailing address

PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 747-4975

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other identifiers 1

IdentifierTypeStateIssuer
260569400MedicaidFL

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
I20160419000793 OK Practitioner - Diagnostic Radiology 7214958370 Reassigns benefits to 6 organizations
I20161122000168 TX Practitioner - Diagnostic Radiology 7214958370 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Medical Imaging Northwest - Good Samaritan Hospital Imaging AllianceGroup PAC ID 3375603970, 117 clinicians
Union Avenue Open MRI LLCGroup PAC ID 5597652917, 44 clinicians

Practice addresses (Care Compare)

4100 S Quinoa Ave
Broken Arrow, OK 74011-1110
Phone (253) 761-4200

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • Highline Medical Center Hospital, Burien, WA, CCN 500011

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
41.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8335FLMDBody Imaging Physician
OP61629350WAMDDiagnostic Radiology Physician
3604OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Butte Indian Health Service Hospital CurrentSince Jul 6, 2019 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 13, 2017 Accepting new patients
Pawnee Indian Health Center CurrentSince Nov 3, 2019 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 13, 2017 Accepting new patients
Zuni Indian Hospital CurrentSince May 10, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 14, 2017 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 1, 2016 Accepting new patients
El Reno Indian Health Center CurrentSince Feb 12, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 14, 2017 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jan 12, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Taos Picuris Health Center CurrentSince Jan 27, 2018 Accepting new patients
Tra-Minw P S CurrentSince Jan 27, 2025 Accepting new patients
Clinton Indian Health Center CurrentSince Feb 12, 2020 Accepting new patients
Anadarko Indian Health Center CurrentSince Sep 6, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Nov 17, 2024 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Dec 11, 2018 Accepting new patients
Oklahoma Diagnostic Imaging LTD CurrentSince Oct 8, 2019 Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Wewoka Indian Health CurrentSince Feb 12, 2020 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Contract X-Ray Services, Inc. CurrentSince May 24, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 1, 2016 Accepting new patients
Cherokee Nation CurrentSince Oct 1, 2016 Accepting new patients
Cherokee Nation CurrentSince Oct 1, 2016 Accepting new patients
Premier MRI of Tulsa, Inc. Diagnostic Radiology Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations (25 of 44)

1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

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

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

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

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

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

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

301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

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

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 34

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 34

Hospital & facility affiliations 7

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1679549166",
    "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": "918-747-4975",
            "fax_number": "918-743-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-747-4975",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLERMAN",
        "first_name": "RONALD",
        "middle_name": "ALLAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "OS8335",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP61629350",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "3604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260569400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.