Jeanie Marie Loper, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24604 Issued in OK

Practice address

5721 NW 132ND St
Oklahoma City, OK 73142-4437

Phone

(405) 557-1200

Fax

(405) 557-1977

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeanie Marie Kilian Former name

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

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dynamic Wound Care LLCGroup PAC ID 0143674465, 17 clinicians

Long Term Care Specialists, IncGroup PAC ID 3476550740, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospice Hospice, Oklahoma City, OK, CCN 371646
• Legacy Family Hospice, LLC Hospice, Oklahoma City, OK, CCN 371735
• Norman Regional Hospital, Norman, OK, CCN 370008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Dynamic Wound Care LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1598541427
  Medicare reassignment Care Compare group NPD
• Long Term Care Specialists, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1497761159
  Medicare reassignment Care Compare group NPD
• Value Based Long Term Care J PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1932931474

  OK

  Medicare reassignment NPD
• Dynamic Physician Group LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1033077078
  NPD Authorized official
• Careconnectmd Oklahoma PC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1578244018
  NPD
• Brookline Operations, LLC

  • Skilled Nursing Facility
  • Oklahoma City, OK
  • NPI 1881195782
  NPD (past)
• NRHS West Family Medicine Associates

  • Family Medicine Physician
  • Norman, OK
  • NPI 1497035117
  NPD (past)
• Verdure Health Services

  • Family Medicine Physician
  • Irving, TX
  • NPI 1801495940
  NPD (past)

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

• CWM Hospice Care 2, LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1760599070
  Care Compare affiliation
• Legacy Family Hospice, LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1689313728
  Care Compare affiliation
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1750424404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200",
            "fax_number": "405-557-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200",
            "fax_number": "405-557-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPER",
        "first_name": "JEANIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200173750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "KILIAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lookers Eyewear
• Ashton Looper
• Danielle Looper
• Eric Matthew Loper, D.D.S.
• Fred Lewis Loper, M.D.
• Matthew Hammell Loper, MD
• Shelbey Elaine Loper, CPRSS
• Gabriela Lopez Aponte
• Lopez in
• Charmaine Lopez-Davis

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.