NPIMap

Individual provider Active NPI

Derek G Howard, DO

  • Diagnostic Radiology Physician
  • Ardmore, OK
National Provider Identifier
1790880219
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3466 Issued in OK
Practice address
1023 15TH Ave NW
Ardmore, OK 73401-1810
Phone
(580) 223-7844
Fax
(580) 223-6285
NPI assigned
Sep 13, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 3466 OK Primary

Addresses

Primary practice location

1023 15TH Ave NW
Ardmore, OK 73401-1810

Mailing address

PO Box 518
Ardmore, OK 73402-0518
Phone (479) 452-9416

Other identifiers 1

IdentifierTypeStateIssuer
100153330AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060222000403 OK Practitioner - Diagnostic Radiology 2668488057 Reassigns benefits to 2 organizations
I20070925000273 TX Practitioner - Diagnostic Radiology 2668488057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Texas HSC, College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Ardmore IncGroup PAC ID 8123011277, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 223-5400

1438 Hardcastle Blvd
Purcell, OK 73080-8233
Phone (405) 527-4700

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

2510 Chickasaw Blvd
Ardmore, OK 73401-1341
Phone (580) 226-8181

817 E 6TH St
Chickasaw Nation Medical Center
Tishomingo, OK 73460-1800
Phone (580) 371-2392

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3466OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation Division of Health Current Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince Dec 18, 2023 Accepting new patients
Mercy Hospital Ardmore, Inc CurrentSince Dec 18, 2023 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Mar 1, 2007 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Mar 1, 2007 Accepting new patients

Locations

1001 N Country Club Rd
Ada, OK 74820
Phone (580) 421-4570

1007 N Country Club Rd
Ada, OK 74820
Phone (580) 421-8700

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: dhoward40977@direct.chickasawnationhealth.net

Organizations & group practices 5

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 9

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1790880219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734020518",
            "telephone_number": "479-452-9416",
            "fax_number": "479-452-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-223-7844",
            "fax_number": "580-223-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DEREK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.