Individual provider Active NPI

Dylan Tyler Roberts, D.O.

  • Hospitalist Physician
  • Norman, OK
National Provider Identifier
1962031591
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
7374 Issued in OK
Practice address
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone
(405) 515-1000
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7374 OK
Hospitalist Physician 208M00000X 7374 OK Primary

Addresses

Primary practice location

3300 Healthplex Pkwy
Norman, OK 73072-9749

Mailing address

1515 Tower Dr
Moore, OK 73160-6181
Phone (405) 310-0836

Other identifiers 4

IdentifierTypeStateIssuer
8365430OtherOKAETNA
201016940AMedicaidOK
7774220OtherOKCIGNA
15924963OtherCAQH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720000361 OK Practitioner - Hospitalist 3971963190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Oklahoma State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7374OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Aug 1, 2023 Accepting new patients
Dylan Roberts DO PLLC Hospitalist CurrentSince Dec 23, 2025 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

1515 Tower Dr
Moore, OK 73160

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3151 Healthplex Dr
Norman, OK 73072
Phone (405) 329-4102

Organizations & group practices 3

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 3

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1962031591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 TOWER DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606181",
            "telephone_number": "405-310-0836",
            "fax_number": "405-758-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-515-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DYLAN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7374",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "7374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8365430",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201016940A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7774220",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15924963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.