Individual provider Active NPI

Ryan W Dennis, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1992930564
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27136 Issued in OK
Practice address
1720 NE 23Rd St
Oklahoma City, OK 73111-3324
Phone
(405) 280-5550
Fax
(405) 280-5780
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27136 OK Primary

Addresses

Primary practice location

1720 NE 23Rd St
Oklahoma City, OK 73111-3324

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

1831 E 71st St
Tulsa, OK 74136-3922
Phone (866) 949-0108

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121201000009 OK Practitioner - Internal Medicine 4880846633 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27136OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma Inc CurrentSince Jan 1, 2013 Accepting new patients
SSM Health Care of Oklahoma, Inc CurrentSince Jan 1, 2013 Accepting new patients
National Family Medical Associates, LLC Internal Medicine CurrentSince Jul 17, 2023 Accepting new patients
Centennial Health, PC PastSince Jul 16, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

7106 Solutions Ctr
Chicago, IL 60677

1720 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 280-5550

1636 Midtown Pl
Oklahoma City, OK 73130
Phone (405) 869-7700

1000 N Lee Ave
Rm 4404
Oklahoma City, OK 73102
Phone (405) 272-6406

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

Interoperability endpoints

  • Direct secure messaging: rdennis49794@direct-ehr-ssmhc.com
  • Direct secure messaging: ms_rdenni17@landmarkhealth-direct.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1992930564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731113324",
            "telephone_number": "405-280-5550",
            "fax_number": "405-280-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741363922",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "RYAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "27136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.