Robert Charles Treadwell, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L2032 Issued in TX

Practice address

14131 Midway Rd
Suite 620
Addison, TX 75001-3623

Phone

(972) 249-0200

Fax

(972) 249-0206

NPI assigned

Apr 27, 2006

Sex

Male

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

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

Specialty

Internal MedicineAlso: Hospitalist

Education

University of North Texas HSC, College of Osteopathic Med, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians

Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health at Home Hospice - Oklahoma Hospice, Oklahoma City, OK, CCN 371731
• SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
• Oklahoma City Rehabilitation Hospital, LLC Inpatient rehabilitation facility, Oklahoma City, OK, CCN 373038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Metro Healthcare Services LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1194558304

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Metro Physicians LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1588374797
  Medicare reassignment Care Compare group
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Franklin County, LTD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1326088782
  NPD (past)
• SSM Health Care of Oklahoma, Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1366545311
  NPD (past)

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

• Oklahoma City Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Oklahoma City, OK
  • NPI 1740813740

  Inpatient rehabilitation facility

  Care Compare affiliation
• SSM Health Businesses

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1376128199
  Care Compare affiliation
• SSM Health Care of Oklahoma Inc

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1649602293

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1366545311
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1780641316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143111602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Titan Interventional Pain Center LLC
• Dana Breann Tolleson
• Quynh A Ton-That, MD
• Town of Addison Emergency Physicians PLLC
• Alexander Hung Tran, M.D.
• Trident Diagnostics, LLC
• Trish Borman PHD PLLC
• Matthew J. Trovato, M.D.
• True Connections Counseling, PLLC
• Ashley Jazmeen Trujillo

• Internal Medicine Physician in Addison, TX
• Providers in Addison, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.