Individual provider Active NPI

Robert B Rogers, PA

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1881666220
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1242 Issued in OK
Practice address
13401 N Western Ave
Ste. 301
Oklahoma City, OK 73114-1408
Phone
(405) 478-7111
Fax
(405) 360-6769
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1242 OK Primary

Addresses

Primary practice location

13401 N Western Ave
Ste. 301
Oklahoma City, OK 73114-1408

Mailing address

3400 W Tecumseh Rd
Ste. 101
Norman, OK 73072-1810
Phone (405) 360-6764

Other identifiers 2

IdentifierTypeStateIssuer
200003100AMedicaidOK
P00008411OtherOKRAILROAD MEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308001078 OK Practitioner - Physician Assistant 1658329305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

13401 N Western Ave
Suite 302
Oklahoma City, OK 73114-1411
Phone (405) 272-6685

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

  • SSM Health at Home Home Health - Oklahoma Home health agency, Oklahoma City, OK, CCN 377035
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1242OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients

Locations

3400 S Douglas Blvd
Ste 302
Oklahoma City, OK 73150
Phone (405) 272-2850

7221 W Hefner Rd
Oklahoma City, OK 73162
Phone (405) 470-6900

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

9060 Harmony Dr
Ste B
Oklahoma City, OK 73130
Phone (405) 733-4447

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

3200 Medical Park Dr
Shawnee, OK 74804
Phone (405) 878-3432

Interoperability endpoints

  • Direct secure messaging: rrogers198957@direct-ehr-ssmhc.com

Organizations & group practices 8

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 4

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1881666220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "STE. 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-360-6764",
            "fax_number": "405-360-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE",
            "address_2": "STE. 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141408",
            "telephone_number": "405-478-7111",
            "fax_number": "405-360-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003100A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00008411",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.