Individual provider Active NPI

Levi Duethman, DO

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1821550161
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6970 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9020
Phone
(918) 599-1000
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 6970 OK Primary

Addresses

Primary practice location

744 W 9TH St
Tulsa, OK 74127-9020

Mailing address

744 W 9TH St
Tulsa, OK 74127-9907
Phone (918) 599-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20201005001343 OK Practitioner - Emergency Medicine 2769801158 Reassigns benefits to 8 organizations
I20220203000185 TX Practitioner - Emergency Medicine 2769801158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 29, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 14, 2024 Accepting new patients
Adair County Health Center, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Adair County Health Center, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Farmers Union Hospital Association CurrentSince Sep 30, 2020 Accepting new patients
Farmers Union Hospital Association CurrentSince Sep 30, 2020 Accepting new patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Adair County Health Center,Inc. Current Accepting new patients
Saint Francis Hospital South LLC Past Accepting new patients

Locations

1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

Dept 1467
Tulsa, OK 74182

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: lduetham835160@ahs.direct-ci.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1821550161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279907",
            "telephone_number": "918-599-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279020",
            "telephone_number": "918-599-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUETHMAN",
        "first_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "6970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.