Individual provider Active NPI

Timothy Yates, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1942436977
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27062 Issued in OK
Practice address
3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455
Phone
(405) 945-4741
Fax
(888) 972-5320
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27062 OK Primary

Addresses

Primary practice location

3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455

Mailing address

3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455
Phone (405) 945-4741

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000170 OK Practitioner - Diagnostic Radiology 3678716222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 4082692496, 20 clinicians

Practice addresses (Care Compare)

1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 606-6937

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 657-3000

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6400

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199

Merit-based Incentive Payment System (MIPS)

Final score
65.61 of 100Reported as group
Quality
55.21
Improvement activities
40
Cost
67.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Prohealth Inc CurrentSince Oct 10, 2019 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Sep 16, 2019 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology Past Accepting new patients
Integris Ambulatory Care Corporation Past Accepting new patients

Locations

3330 NW 56th St
Ste 206
Oklahoma City, OK 73112
Phone (405) 945-4710

3300 NW Expressway St
Ofc
Oklahoma City, OK 73112

Dept 960591
Oklahoma City, OK 73196

3433 NW 56th St
Ste C40
Oklahoma City, OK 73112

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

3433 NW 56th St
Ste C10
Oklahoma City, OK 73112
Phone (405) 945-4740

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

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.

Hospital & facility affiliations 10

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1942436977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST, SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST, SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "27062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.