Individual provider Active NPI

Jonathan Martin Pillow, M.D.

  • Otolaryngology Physician
  • Edmond, OK
National Provider Identifier
1861531139
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
23979 Issued in OK
Practice address
3824 S Boulevard
Suite 160
Edmond, OK 73013-5778
Phone
(405) 562-1810
Fax
(405) 562-1816
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 23979 OK Primary

Addresses

Primary practice location

3824 S Boulevard
Suite 160
Edmond, OK 73013-5778

Mailing address

3033 NW 63Rd St
Suite 152E
Oklahoma City, OK 73116-3634
Phone (405) 755-6651

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
I20070808000085 OK Practitioner - Otolaryngology 7315038155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone (405) 364-2666

3824 S Boulevard
Suite 160
Edmond, OK 73013-5780
Phone (405) 562-1810

Hospital & facility affiliations

  • Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Associates, LLC CurrentSince Jul 1, 2007 Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3824 S Boulevard
Ste 160
Edmond, OK 73013
Phone (405) 348-2424

3650 W Rock Creek Rd
Norman, OK 73072
Phone (405) 364-2666

Organizations & group practices 4

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 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1861531139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 NW 63RD ST",
            "address_2": "SUITE 152E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163634",
            "telephone_number": "405-755-6651",
            "fax_number": "405-755-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD",
            "address_2": "SUITE 160",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135778",
            "telephone_number": "405-562-1810",
            "fax_number": "405-562-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "JONATHAN",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "23979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.