Individual provider Active NPI

James G Prise, MD

  • Family Medicine Physician
  • Shawnee, OK
National Provider Identifier
1932134806
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19402 Issued in OK
Practice address
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone
(405) 964-5770
Fax
(405) 964-5783
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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 19402 OK Primary

Addresses

Primary practice location

781 Grand Casino Blvd
Shawnee, OK 74804-1005

Mailing address

PO Box 269064
Oklahoma City, OK 73126-9064
Phone (405) 231-3857

Other identifiers 1

IdentifierTypeStateIssuer
100132580BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070116000399 OK Practitioner - Family Practice 4486655511 Reassigns benefits to 1 organization
I20150813011636 TX Practitioner - Family Practice 4486655511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Potawatomi Nation Current Accepting new patients
Norman Regional Providers Primary Care Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Citizen Potawatomi Nation CurrentSince Jul 1, 2015 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

14800 S Western Ave
Ste A
Oklahoma City, OK 73170
Phone (405) 515-0330

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

Interoperability endpoints

  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1932134806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269064",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269064",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 GRAND CASINO BLVD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041005",
            "telephone_number": "405-964-5770",
            "fax_number": "405-964-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISE",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132580B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.