NPIMap

Individual provider Active NPI

Gregory Y Jia, M.D.

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1922084128
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19082 Issued in OK
Practice address
4200 S Douglas Ave Ste 200
Oklahoma City, OK 73109-3215
Phone
(405) 636-7499
Fax
(405) 636-7809
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19082 OK Primary

Addresses

Primary practice location

4200 S Douglas Ave Ste 200
Oklahoma City, OK 73109-3215

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 636-7499

Other identifiers 1

IdentifierTypeStateIssuer
100138540AMedicaidOK

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
I20070515000022 OK Practitioner - UrologyPractitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4880791599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

4401 S Western
Wound Care Clinic
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4421 S Western Ave
Suite 1030
Oklahoma City, OK 73109-3413
Phone (405) 644-5398

Hospital & facility affiliations

  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Beaver County Memorial Hospital Hospital, Beaver, OK, CCN 371322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection24
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Feb 8, 2021 Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients
Integris Rural Health Inc Past Accepting new patients

Locations

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

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

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

4200 S Douglas Ave
Ste 200B
Oklahoma City, OK 73109
Phone (405) 644-5447

3433 NW 56th St
Ste 820
Oklahoma City, OK 73112
Phone (405) 945-4577

Interoperability endpoints

  • Direct secure messaging: greg.jia.1@17372.direct.athenahealth.com
  • Direct secure messaging: gjia22812@direct.integrisok.com

Organizations & group practices 6

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1922084128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-636-7499",
            "fax_number": "405-636-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093215",
            "telephone_number": "405-636-7499",
            "fax_number": "405-636-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIA",
        "first_name": "GREGORY",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "19082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.