Individual provider Active NPI

Rockey Talley, MD

  • Emergency Medicine Physician
  • Midwest City, OK
National Provider Identifier
1730128117
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34815 Issued in TN
Practice address
9020 E Reno Ave Ste 100
Midwest City, OK 73130-3336
Phone
(405) 732-7119
Fax
(405) 732-7120
NPI assigned
Jun 4, 2006
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34815 TN Primary

Addresses

Primary practice location

9020 E Reno Ave Ste 100
Midwest City, OK 73130-3336

Mailing address

1001 S Douglas Blvd
Midwest City, OK 73130-5251
Phone (405) 582-7972

Other practice location 1

1001 S Douglas Blvd
Midwest City, OK 73130-5251
Phone (405) 582-7972

Other identifiers 4

IdentifierTypeStateIssuer
3859146MedicaidTN
P00282986OtherTNRAILROAD MEDICARE
4045048OtherTNBCBS OF TN
64128846MedicaidKY

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
I20130816000121 OK Practitioner - Internal Medicine 1658309711 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospitalist Group PLLC CurrentSince Jan 12, 2019 Accepting new patients
White County Physician Services Inc Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients

Locations

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: rtalle03@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1730128117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305251",
            "telephone_number": "405-582-7972",
            "fax_number": "405-733-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 E RENO AVE STE 100",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303336",
            "telephone_number": "405-732-7119",
            "fax_number": "405-732-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731305251",
            "country_code": "US",
            "telephone_number": "405-582-7972",
            "fax_number": "405-733-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "ROCKEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "34815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3859146",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282986",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4045048",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64128846",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.