NPIMap

Individual provider Active NPI

Ryan C Rahhal, MD

  • Neurological Surgery Physician
  • Tulsa, OK
National Provider Identifier
1932241742
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
24080 Issued in OK
Practice address
6767 South Yale Avenue
Suite a
Tulsa, OK 74136-3303
Phone
(918) 492-7587
Fax
(918) 491-3542
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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 24080 OK Primary

Addresses

Primary practice location

6767 South Yale Avenue
Suite a
Tulsa, OK 74136-3303

Mailing address

6767 South Yale Avenue
Suite a
Tulsa, OK 74136-3303
Phone (918) 492-7587

Other identifiers 1

IdentifierTypeStateIssuer
200220690AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110805000297 OK Practitioner - Neurosurgery 8123297298 Reassigns benefits to 2 organizations
I20210316000979 TX Practitioner - Neurosurgery 8123297298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Neurological Surgery IncGroup PAC ID 2860472818, 11 clinicians

Practice addresses (Care Compare)

3366 NW Expy
250 Integris Spine and Neurosurg Surg
Oklahoma City, OK 73112-4427
Phone (405) 552-0401

6767 S Yale Ave
Suite a
Tulsa, OK 74136-3302
Phone (918) 492-7587

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion123
Laminectomy or laminotomy (partial removal of spine bones)66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24080OKMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Inc Neurological Surgery CurrentSince Jul 1, 2011 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 15, 2021 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Christus Trinity Clinic Texas Neurological Surgery CurrentSince Mar 15, 2021 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Feb 25, 2022 Accepting new patients

Locations

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

3366 N West Expy
Ste 250
Oklahoma City, OK 73112
Phone (405) 552-0401

6767 S Yale Ave
Ste A
Tulsa, OK 74136
Phone (918) 492-7587

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: rrahhal14527@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

Hospital & facility affiliations 9

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1932241742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 SOUTH YALE AVENUE",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363303",
            "telephone_number": "918-492-7587",
            "fax_number": "918-491-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 SOUTH YALE AVENUE",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363303",
            "telephone_number": "918-492-7587",
            "fax_number": "918-491-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHHAL",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "24080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200220690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.