DSK MEDICAL GROUP, PC
NPI 1114292596
Clinic/Center in Ponca City, OK

Active since March 18, 2012CLIA 37D2054740 · Waiver
400 FAIRVIEW AVE, BUILDING 3, STE. 20, PONCA CITY, OK 74601(580) 765-6647(580) 765-6699 Get Directions Write a Review

NPPES record last updated: March 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dsk Medical Group, Pc NPPES

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

DSK MEDICAL GROUP, PC (NPI 1114292596) is a healthcare organization registered as a clinic/center in Ponca City, Oklahoma and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Mark E Rigney, Owner, as its authorized official.

NPPES Registry Identity

NPI1114292596
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDSK MEDICAL GROUP, PC
Location Address400 FAIRVIEW AVE, BUILDING 3, STE. 20Ponca City, OK 74601-1920
Mailing Address400 Fairview Ave, Building 3, Ste. 20Ponca City, OK 74601-1920 · (580) 765-6647 · Fax (580) 765-6699
Fax(580) 765-6699
Organization SubpartNo
Authorized OfficialMark E RigneyOwner · (580) 765-6647
Enumeration DateMarch 18, 2012
✔ NPI 1114292596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
400 FAIRVIEW AVE, Ponca City, OK 74601

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dsk Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dsk Medical Group, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1447253737
425 FAIRVIEW AVE STE 1
Ponca City, OK 74601
(580) 765-6647
✔ PECOS0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2054740

Dsk Medical Group · Ponca City, OK
Active · expires Feb 26, 2027
CLIA Number37D2054740
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMark Rigney
Laboratory Phone(580) 765-6647
Laboratory LocationDsk Medical Group425 Fairview Ave, Bldg 1, Ponca City, OK 74601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dsk Medical Group, PC's NPI number?

The NPI number for Dsk Medical Group, PC is 1114292596. It was assigned to this organization in the NPPES registry on March 18, 2012.

Where is Dsk Medical Group, PC located?

Dsk Medical Group, PC is located at 400 Fairview Ave Building 3, Ste. 20, Ponca City, OK 74601. The listed phone number is (580) 765-6647.

What is Dsk Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Dsk Medical Group, PC enrolled in Medicare?

Yes. Dsk Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dsk Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dsk Medical Group, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dsk Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2054740) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dsk Medical Group, PC was last updated on March 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.