Active NPI
Ronald Allan Stillerman, DO
- Diagnostic Radiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 3604
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260569400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 SMedical Imaging Northwest - Good Samaritan Hospital Imaging AllianceUnion Avenue Open MRI LLC
Practice addresses (Care Compare)
4100 S Quinoa Ave
Broken Arrow, OK 74011-1110
Phone (253) 761-4200
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- St Joseph Medical Center
- St Anthony Hospital
- Highline Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.7 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS8335 | FL | MD | Body Imaging Physician |
| OP61629350 | WA | MD | Diagnostic Radiology Physician |
| 3604 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Zuni Indian Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Taos Picuris Health Center | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Clinton Indian Health Center | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Oklahoma Diagnostic Imaging LTD | Current | Accepting new patients | |
| Tulsa Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Wewoka Indian Health | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Contract X-Ray Services, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Premier MRI of Tulsa, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Pawnee IHS Pharmacy | Past | 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
- 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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
OK
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1871574509
Diagnostic Radiology, OK
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.