Individual provider Active NPI

Don R Roller, M.D.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1871577940
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10897 Issued in OK
Practice address
4720 S Harvard Ave
Suite 102
Tulsa, OK 74135-3048
Phone
(918) 744-0194
Fax
(918) 744-4085
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10897 OK Primary

Addresses

Primary practice location

4720 S Harvard Ave
Suite 102
Tulsa, OK 74135-3048

Mailing address

4720 S Harvard Ave
Suite 102
Tulsa, OK 74135-3048
Phone (918) 744-0194

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
I20100916000567 OK Practitioner - Family Practice 1951330604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4720 S Harvard Ave
Tulsa, OK 74135-3023
Phone (918) 744-0194

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10897OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care of Tulsa, Inc Family Medicine CurrentSince Jul 1, 1966 Accepting new patients

Locations

4720 S Harvard Ave
Tulsa, OK 74135
Phone (918) 747-7901

4720 S Harvard Ave
Ste 102
Tulsa, OK 74135
Phone (918) 744-0194

Interoperability endpoints

  • Direct secure messaging: don.roller@direct.stjohnhealthsystem.com

Organizations & group practices 1

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 7

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871577940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 S HARVARD AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353048",
            "telephone_number": "918-744-0194",
            "fax_number": "918-744-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S HARVARD AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353048",
            "telephone_number": "918-744-0194",
            "fax_number": "918-744-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "DON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.