Individual provider Active NPI

Daniel Martin Harwell, M.D.

  • Neurological Surgery Physician
  • Tulsa, OK
National Provider Identifier
1679890701
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
32880 Issued in OK
Practice address
6802 S Olympia Ave
Suite #300
Tulsa, OK 74132-1826
Phone
(918) 749-0762
Fax
(918) 744-4246
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301109314 MI
Student in an Organized Health Care Education/Training Program 390200000X 0000000 OH
Neurological Surgery Physician 207T00000X 32880 OK Primary

Addresses

Primary practice location

6802 S Olympia Ave
Suite #300
Tulsa, OK 74132-1826

Mailing address

6802 S Olympia Ave
Suite #300
Tulsa, OK 74132-1826
Phone (918) 749-0762

Other identifiers 1

IdentifierTypeStateIssuer
200715920AMedicaidOK

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
I20170616000660 OK Practitioner - Neurosurgery 2365674876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Spine and Brain Institute LLPGroup PAC ID 8729090527, 4 clinicians

Practice addresses (Care Compare)

6802 S Olympia Ave
Suite 300
Tulsa, OK 74132-1826
Phone (918) 749-0762

Hospital & facility affiliations

  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
  • Integris Miami Hospital Hospital, Miami, OK, CCN 370004
  • Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
38.33
Improvement activities
40
Cost
59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion100
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109314MIMDNeurological Surgery Physician
32880OKMDNeurological Surgery Physician
0000000OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Spine and Brain Institute, LLP Neurological Surgery CurrentSince Jul 24, 2017 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Tulsa Spine & Specialty Hospital Past Accepting new patients

Locations

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

6802 S Olympia Ave
Ste 300
Tulsa, OK 74132
Phone (918) 749-0762

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
  • Direct secure messaging: daniel.harwell@4112.securemail.prognocis.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 10

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1679890701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE",
            "address_2": "SUITE #300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-749-0762",
            "fax_number": "918-744-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE",
            "address_2": "SUITE #300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-749-0762",
            "fax_number": "918-744-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWELL",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301109314",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "0000000",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "32880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200715920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.