NPIMap

Individual provider Active NPI

Jones Philip Thomas, M.D.

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1871024349
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
39503 Issued in OK
Practice address
4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445
Phone
(405) 644-5120
Fax
(405) 644-5309
NPI assigned
Mar 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 39503 OK Primary

Addresses

Primary practice location

4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Other identifiers 1

IdentifierTypeStateIssuer
201075730AMedicaidOK

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
I20220729000457 OK Practitioner - Vascular Surgery 2567733504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers, Robert Woood Johnson Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

4221 S Western Ave
2010 Southwest CVC
Oklahoma City, OK 73109-3445
Phone (405) 644-5120

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • Norman Regional Hospital, Norman, OK, CCN 370008

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)37
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC CurrentSince Jul 30, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

3433 NW 56th St
Ste 760
Oklahoma City, OK 73112
Phone (405) 948-0640

3433 NW 56th St
Ste 700
Oklahoma City, OK 73112

4221 S Western Ave
Ste 2010
Oklahoma City, OK 73109
Phone (405) 600-7201

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

Interoperability endpoints

  • Direct secure messaging: jthomas305926@direct.integrisok.com

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 10

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1871024349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093445",
            "telephone_number": "405-644-5120",
            "fax_number": "405-644-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JONES",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "39503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201075730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.