Active NPI
Austin Gajewski, DO
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7796
- Practice address
- 1120 S Utica Ave
Tulsa, OK 74104-4090 - Phone
- (918) 579-1000
- NPI assigned
- Apr 19, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 74741-21 | WI | |
| Hospitalist Physician | 208M00000X | 74741 | WI | |
| Internal Medicine Physician | 207R00000X | 7796 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Tulsa, OK 74104-4090
Mailing address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (775) 273-8838
Other practice location 1
1500 Red River St
UT Austin Dell Medical School Internal Medicine
Austin, TX 78701-1918
Phone (512) 324-8355
Other practice location 2
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992292429 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agajewski398435@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300
1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000
Hospital & facility affiliations
- Hillcrest Medical Center
- Hillcrest Hospital Pryor
- Hillcrest Hospital South
- Hillcrest Hospital Claremore
- Bailey Medical Center, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.33 of 100
- Quality
- 84.62
- Improvement activities
- 0
- Cost
- 76.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7796 | OK | MD | Internal Medicine Physician |
| 74741-21 | WI | MD | Internal Medicine Physician |
| 74741 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Hospital Medicine Physicians Group, LLC | Internal Medicine | Current | Accepting new patients |
| Oklahoma Infectious Disease Specialists, LLC | Current | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients |
Locations
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Interoperability endpoints
- agajewski398435@direct-ehr-ssmhc.com
- agajewski710363@ahs.direct-ci.com
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1497417067
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1205846037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1992292429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "775-273-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044090",
"telephone_number": "918-579-1000"
}
],
"practiceLocations": [
{
"address_1": "1500 Red River St",
"address_2": "UT Austin Dell Medical School Internal Medicine",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787011918",
"country_code": "US",
"telephone_number": "512-324-8355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"fax_number": "608-258-6259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAJEWSKI",
"first_name": "AUSTIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "74741-21",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "74741",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "7796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992292429",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agajewski398435@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "agajewski398435@direct-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.