NPIMap

Individual provider Active NPI

Christopher Kelly Tkach, MD

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1679929707
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32408 Issued in OK
Practice address
711 Stanton L Young Blvd
PPB-111
Oklahoma City, OK 73104-5023
Phone
(405) 271-4906
Fax
(405) 271-4910
NPI assigned
May 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 32408 OK Primary

Addresses

Primary practice location

711 Stanton L Young Blvd
PPB-111
Oklahoma City, OK 73104-5023

Mailing address

920 Stanton L Young Blvd
WP-1380
Oklahoma City, OK 73104-5036
Phone (405) 271-5964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830000824 OK Practitioner - Orthopedic Surgery 7012203789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McBride Clinic Orthopedic Hospital, LLCGroup PAC ID 3678514809, 100 clinicians

Practice addresses (Care Compare)

5050 SW Lee Blvd
Suite 2 McBride Clinic
Lawton, OK 73505-8324
Phone (405) 230-9000

5501 N Portland Ave
Integris Health Baptist Medical Center Port
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

9600 Broadway Ext
Oklahoma City, OK 73114-7408

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Oklahoma City, OK, CCN 377642
  • Elara Caring XX Home health agency, Oklahoma City, OK, CCN 377648
  • McBride Orthopedic Hospital Hospital, Oklahoma City, OK, CCN 370222
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
81.07
Promoting interoperability
86
Improvement activities
40
Cost
69.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement87
Knee replacement90
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McBride Clinic Orthopedic Hospital, LLC Orthopaedic Surgery CurrentSince Aug 29, 2022 Accepting new patients
Ou Health Partners, Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
McBride Clinic Orthopedic Hospital, LLC Past Accepting new patients

Locations

5050 SW Lee Blvd
Ste 2
Lawton, OK 73505
Phone (580) 699-8822

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

Interoperability endpoints

  • Direct secure messaging: christopher.tkach@moh.eclinicaldirectplus.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 12

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": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1679929707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD",
            "address_2": "WP-1380",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-5964",
            "fax_number": "405-271-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STANTON L YOUNG BLVD",
            "address_2": "PPB-111",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045023",
            "telephone_number": "405-271-4906",
            "fax_number": "405-271-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACH",
        "first_name": "CHRISTOPHER",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-07",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "32408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.