Individual provider Active NPI

Rita Malvaso Hancock, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oklahoma City, OK
National Provider Identifier
1861449563
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20902 Issued in OK
Practice address
1601 SW 89TH St Ste E200
Oklahoma City, OK 73159-6380
Phone
(405) 900-5300
Fax
(405) 900-6333
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20902 OK Primary

Addresses

Primary practice location

1601 SW 89TH St Ste E200
Oklahoma City, OK 73159-6380

Mailing address

1601 SW 89TH St Ste E200
Oklahoma City, OK 73159-6380
Phone (405) 900-5300

Other identifiers 1

IdentifierTypeStateIssuer
100010660BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL .

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000596 OK Practitioner - Physical Medicine and RehabilitationPractitioner - AnesthesiologyPractitioner - Pain Management 4284734054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

Hospital & facility affiliations

  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20902OKMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Center for Orthopaedic Excellence & Sports Medicine, LLC Current Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
The Physicians Group LLC Pain Medicine CurrentSince Oct 8, 2014 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

3110 SW 89th St
Ste 200C
Oklahoma City, OK 73159
Phone (405) 759-2663

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

1601 SW 89th St
Ste E200
Oklahoma City, OK 73159
Phone (405) 702-4435

Interoperability endpoints

  • Direct secure messaging: ritahancock@oklahomace.allscriptsdirect.net
  • Direct secure messaging: rhancock147993@direct.integrisok.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1861449563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST STE E200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596380",
            "telephone_number": "405-900-5300",
            "fax_number": "405-900-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST STE E200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596380",
            "telephone_number": "405-900-5300",
            "fax_number": "405-900-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "RITA",
        "middle_name": "MALVASO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OK",
            "license": "20902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010660B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "1601 SW 89th St Ste E200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731596380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.