OKLAHOMA PROTON CENTER LLC
NPI 1114408762
Clinic/Center - Oncology, Radiation in Oklahoma City, OK

Active since August 22, 2018
5901 W MEMORIAL RD, OKLAHOMA CITY, OK 73142(918) 798-9160 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2022, Jan 29, 2019, Dec 20, 2018 and 1 more (4 updates tracked since 2018).

About Oklahoma Proton Center Llc NPPES

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

OKLAHOMA PROTON CENTER LLC (NPI 1114408762) is a healthcare organization registered as an oncology, radiation in Oklahoma City, Oklahoma and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Oklahoma City and lists David James Raubach, Officer, as its authorized official.

NPPES Registry Identity

NPI1114408762
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NameOKLAHOMA PROTON CENTER LLC
Location Address5901 W MEMORIAL RDOklahoma City, OK 73142-2015
Mailing AddressPo Box 218Lowell, AR 72745-0218 · (866) 317-3801 · Fax (512) 583-2001
Organization SubpartNo
Authorized OfficialDavid James RaubachOfficer · (918) 798-9160
Enumeration DateAugust 22, 2018
Last NPPES UpdateMay 6, 20224 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1114408762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
5901 W MEMORIAL RD, Oklahoma City, OK 73142

Secondary Practice Location 1

Location 13300 NW 56th StOklahoma City, OK 73112-4538 · Phone (405) 773-6700

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oklahoma Proton Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Oklahoma Proton Center LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Urology14
Radiation Oncology9
Nurse Practitioner3
Diagnostic Radiology1
Ophthalmology1

Nearest to this location (20)

See all 28
Radiation Oncology
NPI 1336346337
5901 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 454-7936
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1578550851
5901 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 773-6700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972218550
5901 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 259-4831
✔ PECOSSame address
Radiation Oncology
NPI 1386164507
5901 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 422-9688
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1457393894
5901 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 369-7819
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003463324
5901 W MEMORIAL RD
Oklahoma City, OK 73142
(615) 988-6335
✔ PECOSSame address
Radiation Oncology
NPI 1619946068
5911 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 773-6530
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1285130716
5911 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 773-6530
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1578599304
5911 W MEMORIAL RD
Oklahoma City, OK 73142
(405) 773-6530
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1013038371
13509 N MERIDIAN AVE STE 6
Oklahoma City, OK 73120
(405) 768-1180
✔ PECOS✔ Accepts Medicare1.1 mi
Urology
NPI 1174884886
11000 HEFNER POINTE DR
Oklahoma City, OK 73120
(405) 749-9655
✔ PECOS✔ Accepts Medicare2.9 mi
Urology
NPI 1528295755
11000 HEFNER POINTE DR
Oklahoma City, OK 73120
(405) 749-9655
✔ PECOS✔ Accepts Medicare3.0 mi
Urology
NPI 1083103915
11000 HEFNER POINTE DR
Oklahoma City, OK 73120
(405) 749-9655
✔ PECOS✔ Accepts Medicare3.0 mi
Urology
NPI 1811283161
11000 HEFNER POINTE DR
Oklahoma City, OK 73120
(405) 749-9655
✔ PECOS✔ Accepts Medicare3.0 mi
Urology
NPI 1619177581
5401 N. PORTLAND AVE. STE. 440
Oklahoma City, OK 73112
(405) 943-1137
✔ PECOS✔ Accepts Medicare6.2 mi
Radiation Oncology
NPI 1578502324
3300 NW 56TH ST FL LL100
Oklahoma City, OK 73112
(405) 488-0700
✔ PECOS✔ Accepts Medicare6.3 mi
Urology
NPI 1477594513
5300 N GRAND BLVD STE 200
Oklahoma City, OK 73112
(405) 942-8545
✔ PECOS✔ Accepts Medicare6.5 mi
Urology
NPI 1265492144
5300 N GRAND BLVD STE 200
Oklahoma City, OK 73112
(405) 946-2500
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1891463535
5100 N BROOKLINE AVE STE 675
Oklahoma City, OK 73112
(800) 640-3451
✔ PECOS✔ Accepts Medicare6.8 mi
Ophthalmology
NPI 1073772398
608 STANTON L YOUNG BLVD
Oklahoma City, OK 73104
(405) 271-6060
✔ PECOS✔ Accepts Medicare11 mi
See all 28 clinicians

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

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 Oklahoma Proton Center LLC's NPI number?

The NPI number for Oklahoma Proton Center LLC is 1114408762. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is Oklahoma Proton Center LLC located?

Oklahoma Proton Center LLC is located at 5901 W Memorial Rd, Oklahoma City, OK 73142. The listed phone number is (918) 798-9160.

What is Oklahoma Proton Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

Is Oklahoma Proton Center LLC enrolled in Medicare?

Yes. Oklahoma Proton Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oklahoma Proton Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Oklahoma Proton Center LLC. 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. The largest specialties are Urology (14), Radiation Oncology (9) and Nurse Practitioner (3). Of these, 6 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oklahoma Proton Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Oklahoma Proton Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oklahoma Proton Center LLC was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.