NPIMap

Individual provider Active NPI

Matthew Macallister, MD

  • Neurological Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1912430430
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
43236 Issued in OK
Practice address
3433 NW 56TH St Ste 900
Oklahoma City, OK 73112-4452
Phone
(405) 552-0401
Fax
(405) 848-3210
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 43236 OK Primary

Addresses

Primary practice location

3433 NW 56TH St Ste 900
Oklahoma City, OK 73112-4452

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 552-0401

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
I20240709000162 OK Practitioner - Neurosurgery 4486199049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3433 NW 56TH St
Suite 900
Oklahoma City, OK 73112-4452
Phone (405) 552-0401

Hospital & facility affiliations

  • Integris Home Care Oklahoma City Home health agency, Oklahoma City, OK, CCN 377051
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion67
Laminectomy or laminotomy (partial removal of spine bones)42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43236OKMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Jul 31, 2024 Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3433 NW 56th St
Ste 900
Oklahoma City, OK 73112
Phone (405) 552-0401

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

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

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 11

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1912430430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-552-0401",
            "fax_number": "405-848-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124452",
            "telephone_number": "405-552-0401",
            "fax_number": "405-848-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALLISTER",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "43236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.