NPIMap

Individual provider Active NPI

Christian Leigh Koopman, D.O.

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1780762195
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3965 Issued in OK
Practice address
940 N.E. 13TH St
Garrison Tower, Suite 4G4250, Radiological Sciences
Oklahoma City, OK 73104
Phone
(405) 271-5125
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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 3965 OK Primary

Addresses

Primary practice location

940 N.E. 13TH St
Garrison Tower, Suite 4G4250, Radiological Sciences
Oklahoma City, OK 73104

Mailing address

940 N.E. 13TH St
Garrison Tower, Suite 4G4250, Radiological Sciences
Oklahoma City, OK 73104
Phone (405) 271-5125

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
I20110829000362 OK Practitioner - Diagnostic Radiology 1052581154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City Homeopathic Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Radiology Group P CGroup PAC ID 9032101688, 59 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Radiology Group P C Diagnostic Radiology CurrentSince Dec 3, 2012 Accepting new patients

Locations

212 E 8th St
Beaver, OK 73932
Phone (580) 625-3646

1220 N Glenn L English St
Cordell, OK 73632
Phone (580) 832-3339

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

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

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Anthony Shawnee HospitalShawnee, OK, CCN 370149 Hospital Corporate Officer Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1780762195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N.E. 13TH ST",
            "address_2": "GARRISON TOWER, SUITE 4G4250, RADIOLOGICAL SCIENCES",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N.E. 13TH ST",
            "address_2": "GARRISON TOWER, SUITE 4G4250, RADIOLOGICAL SCIENCES",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPMAN",
        "first_name": "CHRISTIAN",
        "middle_name": "LEIGH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "3965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.