DESHAUNA RENA TUCKER DO
NPI 1093392326
Radiology - Diagnostic Radiology in Oklahoma City, OK

Active since March 24, 2021PECOS Enrolled
3300 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73112(405) 949-3011 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, May 26, 2026, Mar 24, 2021 (3 updates tracked since 2021).

About Deshauna Rena Tucker Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESHAUNA RENA TUCKER DO (NPI 1093392326) is an individual diagnostic radiology provider in Oklahoma City, Oklahoma, licensed in Maryland (H0107407) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093392326
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDESHAUNA RENA TUCKERCredential: DO
Location Address3300 NW EXPRESSWAY STOklahoma City, OK 73112-4418
Mailing Address3300 Nw Expressway StOklahoma City, OK 73112-4418
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1093392326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MD · H0107407
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 7663 (OK)
3300 NW EXPRESSWAY ST, Oklahoma City, OK 73112

Secondary Practice Location 1

Location 122 S Greene St # S2A19Baltimore, MD 21201-1544 · Phone (410) 328-3477 · Fax (410) 328-0641

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deshauna Rena Tucker Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284036302
PECOS Enrollment IDI20260601001443
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Deshauna Tucker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3401 W GORE BLVD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 11 clinicians in this Medicare group
Diagnostic Radiology
5 N LA PLATA CT STE 104
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland enrollment
  • 123 clinicians in this Medicare group
Diagnostic Radiology
901 HARRY S TRUMAN DR N
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia, Maryland and Massachusetts enrollments
  • Also billed through NPI 1083426563 (Maryland), NPI 1154335487 (Massachusetts)
  • 140 clinicians in this Medicare group
Diagnostic Radiology
670 W BALTIMORE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 122 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3300 NW EXPRESSWAY ST
OKLAHOMA CITY, OK 73112
Physician Assistant
3300 NW EXPRESSWAY ST
OKLAHOMA CITY, OK 73112
Emergency Medicine
3300 NW EXPRESSWAY ST, EMERGENCY DEPARTMENT
OKLAHOMA CITY, OK 73112
Anesthesiology
3300 NW EXPRESSWAY ST
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Acute Care)
3300 NW EXPRESSWAY ST, RAPID RESPONSE OFFICE
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Pediatrics)
3300 NW EXPRESSWAY ST
OKLAHOMA CITY, OK 73112
Pediatrics (Pediatric Critical Care Medicine)
3300 NW EXPRESSWAY ST, #100 3135
OKLAHOMA CITY, OK 73112
Internal Medicine (Cardiovascular Disease)
3300 NW EXPRESSWAY ST
OKLAHOMA CITY, OK 73112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deshauna Tucker's NPI number?

The NPI number for Deshauna Tucker is 1093392326. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Deshauna Tucker located?

Deshauna Tucker practices at 3300 NW Expressway St, Oklahoma City, OK 73112. The listed phone number is (405) 949-3011.

What is Deshauna Tucker's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Deshauna Tucker enrolled in Medicare?

Yes. Deshauna Tucker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Deshauna Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deshauna Tucker reassigns Medicare benefits to 4 organizations: Comanche County Hospital Authority Southwest Radiology (Lawton, OK), University Of Maryland Diagnostic Radiology, LLC (La Plata, MD), University Of Maryland Diagnostic Imaging Specialists P A (Largo, MD) and University Imaging Center, LLC (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deshauna Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deshauna Tucker was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.