Active NPI
Rodney L. Huddleston, MD
- Internal Medicine Physician
- Ada, OK
National Provider Identifier
1992705024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 015797
- Practice address
- Chickasaw Nation Health System
1001 North Country Club Road
Ada, OK 74820 - Phone
- (800) 851-9136
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 015797 | LA | Primary |
Addresses
Primary practice location
Chickasaw Nation Health System
1001 North Country Club Road
Ada, OK 74820
Mailing address
Chickasaw Nation Health System
1001 North Country Club Road
Ada, OK 74820
Phone (800) 851-9136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1328898 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15797 | LA | MD | Clinical Social Worker |
| 015797 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Past | Accepting new patients | |
| DRS. Samuels & Huddleston, Apmc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
Organizations & group practices 2
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.
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
- Specialist
- Covington, LA
- NPI 1356395099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992705024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHICKASAW NATION HEALTH SYSTEM",
"address_2": "1001 NORTH COUNTRY CLUB ROAD",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "800-851-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHICKASAW NATION HEALTH SYSTEM",
"address_2": "1001 NORTH COUNTRY CLUB ROAD",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "800-851-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDDLESTON",
"first_name": "RODNEY",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "015797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1328898",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.