Active NPI
Lenny D Stubbs, M.D.
- Vascular Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 21272
- Practice address
- 4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382 - Phone
- (405) 608-3800
- Fax
- (405) 608-4768
- NPI assigned
- Oct 5, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21272 | OK | |
| Vascular Surgery Physician | 2086S0129X | 21272 | PR | |
| Vascular Surgery Physician | 2086S0129X | 21272 | OK | Primary |
Addresses
Primary practice location
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Mailing address
7800 NW 85TH Ter
Oklahoma City, OK 73132-3385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200028610A | Medicaid | OK | |
| P00219549 | Other | OK | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lstubbs@direct.okheart.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Oklahoma College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800
Hospital & facility affiliations
- Oklahoma Heart Hospital, LLC
- Mercy Hospital Oklahoma City, Inc
- Mercy Hospital Ardmore, Inc
- Stillwater Medical Center
- Mercy Hospital Ada
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 100
- Improvement activities
- 0
- Cost
- 90.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 25 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21272 | PR | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohh Physicians, LLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Oklahoma Heart Hospital, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080
7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239
4050 W Memorial Rd
#3
Oklahoma City, OK 73120
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
709 S Western Rd
Stillwater, OK 74074
Phone (405) 624-6700
Interoperability endpoints
- lstubbs22144@direct.okheart.com
- https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
- https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1942297817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 NW 85TH TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 W MEMORIAL RD FL 3",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208382",
"telephone_number": "405-608-3800",
"fax_number": "405-608-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "LENNY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "21272",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PR",
"license": "21272",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OK",
"license": "21272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200028610A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00219549",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lstubbs@direct.okheart.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4050 W Memorial Rd Fl 3",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731208382",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.