Individual provider Active NPI

Stephen O'Grady, MD

  • Pediatrics Physician
  • Ada, OK
National Provider Identifier
1699842161
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17834 Issued in OK
Practice address
930 N Country Club Rd
Ada, OK 74820-2846
Phone
(580) 436-5111
Fax
(580) 436-1159
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J9770 TX
Pediatrics Physician 208000000X 17834 OK Primary

Addresses

Primary practice location

930 N Country Club Rd
Ada, OK 74820-2846

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20060508000895 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3678584471 Reassigns benefits to 1 organization
I20150115000435 OK Practitioner - Pediatric Medicine 3678584471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9770TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center, Inc. Current Accepting new patients
Central Oklahoma Family Medical Center, Inc CurrentSince Feb 27, 2019 Accepting new patients
Central Oklahoma Family Medical Center Inc CurrentSince Feb 27, 2019 Accepting new patients
Cook Children'S Physician Network Pediatrics Current Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Apr 1, 2013 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Apr 1, 2013 Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

930 N Country Club Rd
Ada, OK 74820

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

304 N Monte Vista St
Ada, OK 74820
Phone (405) 584-4078

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

527 W 3rd St
Ste A
Konawa, OK 74849

6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500

Interoperability endpoints

  • Direct secure messaging: stephen.ogrady@cof.eclinicaldirectplus.com

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1699842161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N COUNTRY CLUB RD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202846",
            "telephone_number": "580-436-5111",
            "fax_number": "580-436-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADY",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9770",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "17834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.