NPIMap

Individual provider Active NPI

Ross Paul Gillum, MD

  • Urology Physician
  • Norman, OK
National Provider Identifier
1871055772
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
44165 Issued in OK
Practice address
500 E Robinson St Ste 1300
Norman, OK 73071-6694
Phone
(405) 360-9966
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X PENDING OK
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 44165 OK Primary

Addresses

Primary practice location

500 E Robinson St Ste 1300
Norman, OK 73071-6694

Mailing address

500 E Robinson St Ste 1300
Norman, OK 73071-6694

Other practice location 1

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

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
I20241211004143 OK Practitioner - Urology 8628504842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Urology Associates PCGroup PAC ID 6103888961, 10 clinicians

Practice addresses (Care Compare)

500 E Robinson St
Suite 1300
Norman, OK 73071-6694
Phone (405) 360-9966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGOKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Urology Associates PC CurrentSince Nov 11, 2024 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

2117 Riverwalk Dr
#A
Moore, OK 73160
Phone (405) 360-9966

2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656

500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

Organizations & group practices 2

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1871055772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST STE 1300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST STE 1300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716694",
            "telephone_number": "405-360-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Healthplex Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730729749",
            "country_code": "US",
            "telephone_number": "405-515-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLUM",
        "first_name": "ROSS",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "44165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.