NPIMap

Individual provider Active NPI

Kevin Todd Fisher, D.O.

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1831150580
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3187 Issued in OK
Practice address
2448 E 81St St Ste 1100
Tulsa, OK 74137-4205
Phone
(918) 505-3400
Fax
(918) 508-7070
NPI assigned
Mar 31, 2006
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3187 OK Primary

Addresses

Primary practice location

2448 E 81St St Ste 1100
Tulsa, OK 74137-4205

Mailing address

2448 E 81St St Ste 1100
Tulsa, OK 74137-4205
Phone (918) 505-3400

Other identifiers 1

IdentifierTypeStateIssuer
100199470CMedicaidOK

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
I20110323001055 OK Practitioner - General Surgery 7911081872 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates IncGroup PAC ID 5193715746, 10 clinicians
Drumright Community Hospital LLCGroup PAC ID 9335570985, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

2448 E 81St St
Suite 1100
Tulsa, OK 74137-4205
Phone (918) 505-3400

610 W Bypass
Drumright, OK 74030-5957
Phone (918) 382-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux46
Melanoma (skin cancer) excision17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3187OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Nov 1, 2023 Accepting new patients
Drumright Community Hospital LLC CurrentSince Jan 1, 2026 Accepting new patients
Northeastern Health System CurrentSince Nov 1, 2023 Accepting new patients
Surgical Associates, Inc. Surgery CurrentSince Mar 16, 2002 Accepting new patients
Northeastern Health System Current Accepting new patients
Drumright Community Hospital LLC CurrentSince Jan 1, 2026 Accepting new patients
Sleep Solutions Tulsa, LLC PastSince Jan 10, 2008 Accepting new patients
Oklahoma Surgical Hospital, LLC Past Accepting new patients

Locations

610 W Bypass
Drumright, OK 74030
Phone (918) 382-2300

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

2448 E 81st St
Ste 1100
Tulsa, OK 74137
Phone (918) 505-3400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
  • Direct secure messaging: kevin.fisher@direct.stjohnhealthsystem.com

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
Oklahoma Surgical Hospital LLCTulsa, OK, CCN 370210 Hospital General Partnership Interest (1.7%) Jan 2, 2007

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 8

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 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1831150580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374205",
            "telephone_number": "918-505-3400",
            "fax_number": "918-508-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374205",
            "telephone_number": "918-505-3400",
            "fax_number": "918-508-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KEVIN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100199470C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.