NPIMap

Individual provider Active NPI

Thomas E Wiley III, MD

  • Vascular & Interventional Radiology Physician
  • Tulsa, OK
National Provider Identifier
1699720201
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
24695 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
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 24695 OK Primary
Diagnostic Radiology Physician 2085R0202X 24695 OK

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 identifiers 3

IdentifierTypeStateIssuer
200068060AMedicaidOK
244534203OtherOKMEDICARE
P00300599OtherOKRAILROAD MEDICARE

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
I20051208000359 OK Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5294717898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants of Tulsa, Inc.Group PAC ID 0648269324, 34 clinicians

Practice addresses (Care Compare)

5801 E 41St St
Suite 900
Tulsa, OK 74135-5631
Phone (918) 743-8838

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Saint Francis Hospital Vinita, Inc Hospital, Vinita, OK, CCN 370237
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • Integris Grove Hospital Hospital, Grove, OK, CCN 370113

Merit-based Incentive Payment System (MIPS)

Final score
77.65 of 100Reported as group
Quality
92.54
Improvement activities
40
Cost
39.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24695OKMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology CurrentSince Dec 1, 2005 Accepting new patients
Oklahoma Oncology Inc CurrentSince Aug 15, 2012 Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology PastSince Jul 1, 2009 Accepting new patients
Radiological Imaging of Oklahoma, L.L.C. Past Accepting new patients
Hemet Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Hemet Valley Imaging Medical Group, Inc. Past Accepting new patients
Apex Radiology Medical Group, Inc. Past Accepting new patients

Locations

341 S 33rd St
Muskogee, OK 74401
Phone (918) 682-1122

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

4111 S Darlington Ave
Ste 700
Tulsa, OK 74135
Phone (918) 743-8943

6585 S Yale Ave
Ste 701
Tulsa, OK 74136
Phone (918) 494-8275

Organizations & group practices 7

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 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1699720201",
    "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": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OK",
            "license": "24695",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "24695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068060A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "244534203",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00300599",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.