Active NPI
Daniel E Wildes, D.O.
- Cardiovascular Disease Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4168
- Practice address
- 717 S Houston Ave Ste 400
Tulsa, OK 74127-9007 - Phone
- (918) 582-7711
- Fax
- (918) 583-5831
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4168 | OK | Primary |
Addresses
Primary practice location
717 S Houston Ave Ste 400
Tulsa, OK 74127-9007
Mailing address
5310 E 31St St Ste 13
Tulsa, OK 74135-5013
Phone (918) 561-5701
Other practice location 1
800 Kenyon Rd
Fort Dodge, IA 50501-5776
Phone (515) 574-6840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200031260B | Medicaid | OK | |
| 456078YM2Y | Other | OK | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701
Hospital & facility affiliations
- Oklahoma State University Medical Center
- Council Oak Comprehensive Healthcare
- Creek Nation Community Hospital
- McAlester Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4168 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Oklahoma State University Medical Trust | Past | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients | |
| Iowa Heart Center PC | Cardiovascular Disease | Past | Accepting new patients |
| Pawnee IHS Pharmacy | Past | Accepting new patients | |
| Heart Care of Tulsa, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Locations
309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 2563
Tulsa, OK 74182
Dept 1467
Tulsa, OK 74182
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Interoperability endpoints
- dwildes734278@directa.mercy.net
- dwildes22915@muscogeecreeknation.direct-ci.com
- dwildes216565@direct.saintfrancis.com
Organizations & group practices 12
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.
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
dba OSU Speech-Language-Hearing Clinic
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
dba Riverwalk Health and Wellness Center
- Clinic/Center
- Jenks, OK
- NPI 1699375998
-
dba Muscogee Healing and Recovery Center
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
dba OSU Physicians Clinical Laboratory
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
- Cardiovascular Disease Physician
- Tulsa, OK
- NPI 1497965818
-
dba Oklahoma State University Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
-
dba Oklahoma State Department of Health
- Public Health or Welfare Agency
- Oklahoma City, OK
- NPI 1184891525
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McAlester Regional Health Center
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
dba Oklahoma State University Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1932163565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 E 31ST ST STE 13",
"city": "TULSA",
"state": "OK",
"postal_code": "741355013",
"telephone_number": "918-561-5701",
"fax_number": "918-561-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 400",
"city": "TULSA",
"state": "OK",
"postal_code": "741279007",
"telephone_number": "918-582-7711",
"fax_number": "918-583-5831"
}
],
"practiceLocations": [
{
"address_1": "800 Kenyon Rd",
"address_purpose": "LOCATION",
"city": "Fort Dodge",
"state": "IA",
"postal_code": "505015776",
"country_code": "US",
"telephone_number": "515-574-6840",
"fax_number": "515-576-7726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDES",
"first_name": "DANIEL",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OK",
"license": "4168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200031260B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "456078YM2Y",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.