Active NPI
Dekoda Kole Bost
- Family Medicine Physician
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5187
- Practice address
- 11900 NW Expressway
Yukon, OK 73099 - Phone
- (405) 283-9300
- Fax
- (405) 283-9301
- NPI assigned
- Mar 1, 2011
- Last updated
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5187 | OK | Primary |
Addresses
Primary practice location
11900 NW Expressway
Yukon, OK 73099
Mailing address
11900 NW Expressway
Yukon, OK 73099-8795
Phone (405) 283-9300
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
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11900 NW Expressway
Yukon, OK 73099-8795
Phone (405) 283-9300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
11900 NW Expressway
Yukon, OK 73099
Phone (405) 283-9300
Interoperability endpoints
- dbost989455@directc.mercy.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kingfisher, OK
- NPI 1083048417
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1952609885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 NW EXPRESSWAY",
"city": "YUKON",
"state": "OK",
"postal_code": "730998795",
"telephone_number": "405-283-9300",
"fax_number": "405-283-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 NW EXPRESSWAY",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-283-9300",
"fax_number": "405-283-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOST",
"first_name": "DEKODA",
"middle_name": "KOLE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.