NPIMap

Individual provider Active NPI

Michael Lee Haslam, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1740238625
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24275 Issued in OK
Practice address
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone
(405) 272-6166
NPI assigned
May 4, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24275 OK Primary

Addresses

Primary practice location

1000 N Lee Ave
Oklahoma City, OK 73102-1036

Mailing address

2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046
Phone (405) 858-2350

Other practice location 1

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7362

Other identifiers 1

IdentifierTypeStateIssuer
200054030AMedicaidOK

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
I20050607000923 OK Practitioner - Diagnostic Radiology 9133166937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.95 of 100Reported as group
Quality
90.99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165989NYMDDiagnostic Radiology Physician
24275OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Radiology Services, Inc Diagnostic Radiology CurrentSince Dec 28, 2023 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jan 1, 2025 Accepting new patients
Oklahoma Radiology Group P C Diagnostic Radiology CurrentSince Jan 2, 2008 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1740238625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 NW 50TH ST",
            "address_2": "SUITE 276W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128046",
            "telephone_number": "405-858-2350",
            "fax_number": "405-858-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093413",
            "country_code": "US",
            "telephone_number": "405-636-7362",
            "fax_number": "405-636-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "24275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.