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Individual provider Active NPI

Brian A. Chalkin, DO

  • Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1861453102
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3711 Issued in OK
Practice address
2431 E 61St St Ste 500
Tulsa, OK 74136-1208
Phone
(918) 582-6800
Fax
(918) 582-6060
NPI assigned
Mar 28, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3711 OK Primary

Addresses

Primary practice location

2431 E 61St St Ste 500
Tulsa, OK 74136-1208

Mailing address

2431 E 61St St Ste 500
Tulsa, OK 74136-1208
Phone (918) 582-6800

Other identifiers 1

IdentifierTypeStateIssuer
200031300AMedicaidOK

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
I20040722000745 OK Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4688654411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Center PCGroup PAC ID 8123915626, 19 clinicians

Practice addresses (Care Compare)

2431 E 61St St
Suite 500
Tulsa, OK 74136-1208
Phone (918) 582-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.9 of 100Reported as individual
Quality
78.37
Promoting interoperability
81
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)147
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3711OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Center, PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Orthopaedic Center, PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Summit Medical Center Past Accepting new patients
St. John Broken Arrow, Inc Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

1809 E 13th St
Ste 100
Tulsa, OK 74104
Phone (918) 925-3219

2431 E 61st St
Ste 500
Tulsa, OK 74136
Phone (918) 925-3243

Interoperability endpoints

  • Direct secure messaging: brian.chalkin@direct.stjohnhealthsystem.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1861453102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALKIN",
        "first_name": "BRIAN",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200031300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.