Active NPI
Patrick Timothy Prevo, M.D.
- Interventional Pain Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 29457
- Practice address
- 800 NW 9TH St Ste 201
Oklahoma City, OK 73106-7253 - Phone
- (405) 231-2900
- Fax
- (405) 272-4905
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M8261 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | 29457 | OK | Primary |
Addresses
Primary practice location
800 NW 9TH St Ste 201
Oklahoma City, OK 73106-7253
Mailing address
800 NW 9TH St Ste 201
Oklahoma City, OK 73106-7253
Phone (405) 231-2900
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | pprevo69646@direct-ehr-ssmhc.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
- Physical Medicine and Rehabilitation
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8261 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Interventional Pain Medicine | Past | Accepting new patients |
| Summit Medical Center | Interventional Pain Medicine | Past | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
201 S Sara Rd
Ste 200
Mustang, OK 73064
Phone (405) 578-3250
800 NW 9th St
Ste 201
Oklahoma City, OK 73106
Phone (405) 231-2900
535 NW 9th St
Ste 2025
Oklahoma City, OK 73102
Phone (405) 272-4953
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
535 NW 9th St
Ste 205
Oklahoma City, OK 73102
Phone (405) 231-2900
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
Interoperability endpoints
- pprevo69646@direct-ehr-ssmhc.com
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Interventional Pain Medicine
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Interventional Pain Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1972770386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 NW 9TH ST STE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731067253",
"telephone_number": "405-231-2900",
"fax_number": "405-272-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 NW 9TH ST STE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731067253",
"telephone_number": "405-231-2900",
"fax_number": "405-272-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVO",
"first_name": "PATRICK",
"middle_name": "TIMOTHY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M8261",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "29457",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "535 NW 9th St",
"address_2": "Suite 205",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731021070",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pprevo69646@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pprevo69646@direct-ehr-ssmhc.com",
"address_1": "535 NW 9th St",
"address_2": "Suite 205",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731021070",
"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 Apr 15, 2024; 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.