Iwan T Tjauw, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

24754 Issued in OK

Practice address

3433 NW 54TH St
Suite C-40
Oklahoma City, OK 73112-4455

Phone

(405) 945-4741

Fax

(888) 972-5320

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Diagnostic Radiology

Education

Jefferson Medical College of Thomas Jefferson University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates LLCGroup PAC ID 4082692496, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
• Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
• Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
• Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Merit-based Incentive Payment System (MIPS)

Final score

65.61 of 100Reported as group

Quality

55.21

Improvement activities

40

Cost

67.5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1417907916
  Medicare reassignment Care Compare group NPD
• Integris Prohealth Inc

  dba INTEGRIS Imaging

  • Radiology Clinic/Center
  • Oklahoma City, OK
  • NPI 1881127017
  NPD
• Advanced Medical Imaging Center LLC

  dba Southwest Imaging Centers

  • Diagnostic Radiology Physician
  • Vancouver, WA
  • NPI 1114008737
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Baptist Medical Center Inc

  dba INTEGRIS Decisions Mental Health and Addiction Recovery Programs

  • Psychiatric Hospital Unit
  • Oklahoma City, OK
  • NPI 1598837221
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  dba Integris Mental Health Center

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1659443372
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  dba Integris Health Baptist Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1831103654
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  dba Integris Mental Health Center Acute

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1881760759
  Care Compare affiliation
• Integris Canadian Valley Hospital

  • General Acute Care Hospital
  • Yukon, OK
  • NPI 1306865357
  Care Compare affiliation
• Integris Health Edmond, Inc

  dba INTEGRIS Health Edmond Hospital

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  dba Integris Southwest Breast Center

  • Mammography Clinic/Center
  • Oklahoma City, OK
  • NPI 1336155779

  Hospital

  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  dba Integris Jim Thorpe Inpatient Rehabilitation

  • Rehabilitation Hospital Unit
  • Oklahoma City, OK
  • NPI 1336252717
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  dba Integris Health Southwest Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1457372625
  Care Compare affiliation
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1730154170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 54TH ST",
            "address_2": "SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 54TH ST",
            "address_2": "SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJAUW",
        "first_name": "IWAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OK",
            "license": "24754",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OK",
            "license": "24754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/MPI",
            "identifier": "P00285866",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00283018",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/AI",
            "identifier": "P00302394",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100738500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Titsworth
• Amanda Titus, MD
• Desma Titus, LPN
• Gurbir Paul Tiwana, D.M.D. M.D. M.S.
• Nishant Rajendra Tiwari, M.D.
• Maxmillian Joseph Tjauw
• TJS Daycare (LaTonya Wilson)
• Christopher Kelly Tkach, MD
• Shaun David Tkach, MD
• Thomas Kelly Tkach, MD

• Neuroradiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neuroradiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.