NPIMap

Individual provider Active NPI

Timothy George Ihrig, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1922111400
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
35554 Issued in OK
Practice address
1923 S Utica Ave # 14W
Tulsa, OK 74104-6520
Phone
(918) 744-2930
NPI assigned
Aug 17, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37575 IA
Internal Medicine Physician 207R00000X 35554 OK
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 37575 IA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 35554 OK Primary

Addresses

Primary practice location

1923 S Utica Ave # 14W
Tulsa, OK 74104-6520

Mailing address

1923 S Utica Ave
Credentialing Ofc, Ground FL
Tulsa, OK 74104-6520
Phone (918) 403-7065

Other practice location 1

1705 E 19th St
Holliman Ste 201
Tulsa, OK 74104-5404
Phone (918) 744-2930

Other identifiers 1

IdentifierTypeStateIssuer
200927280AMedicaidOK

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
I20200825002682 OK Practitioner - Hospice/Palliative CarePractitioner - Family Practice 5294869566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37575IAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc Hospice and Palliative Medicine CurrentSince Jul 25, 2022 Accepting new patients
St. John Physicians, Inc. Internal Medicine Current Accepting new patients
Crossroads Hospice of Dayton LLC CurrentSince Nov 6, 2022 Accepting new patients
Crossroads Hospice of Tennessee, LLC CurrentSince Nov 6, 2022 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC CurrentSince Nov 6, 2022 Accepting new patients
Choices Healthcare Past Accepting new patients

Locations

8069 Washington Village Dr
Dayton, OH 45458
Phone (937) 312-3170

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

10810 E 45th St
Ste 300
Tulsa, OK 74146

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

1923 S Utica Ave
#14W
Tulsa, OK 74104
Phone (918) 744-2930

1923 S Utica Ave
Ofc
Tulsa, OK 74104

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

Interoperability endpoints

  • Direct secure messaging: ms_tihrig@landmarkhealth-direct.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Providence Hospice CareOklahoma City, OK, CCN 371734 Hospice Contracted Managing Employee Jul 1, 2022
Angels Care HospiceBroken Arrow, OK, CCN 371736 Hospice Contracted Managing Employee Feb 7, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1922111400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "address_2": "CREDENTIALING OFC, GROUND FL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-403-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE # 14W",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-744-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 E 19th St",
            "address_2": "Holliman Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045404",
            "country_code": "US",
            "telephone_number": "918-744-2930",
            "fax_number": "918-403-6341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHRIG",
        "first_name": "TIMOTHY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "37575",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "35554",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IA",
            "license": "37575",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OK",
            "license": "35554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200927280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.