GRADY MEMORIAL HOSPITAL
NPI 1164859260
Clinic/Center - Rural Health in Chickasha, OK
About Grady Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRADY MEMORIAL HOSPITAL (NPI 1164859260), doing business as Five Oaks Family Medical Clinic, is a healthcare organization registered as a rural health in Chickasha, Oklahoma and active in the NPI registry since October 2013. The organization lists Steve Pautler, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Grady Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Grady Memorial Hospital, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 22Source: 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 Grady Memorial Hospital's NPI number?
The NPI number for Grady Memorial Hospital is 1164859260. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Five Oaks Family Medical Clinic.
Where is Grady Memorial Hospital located?
Grady Memorial Hospital is located at 2100 W Iowa Ave Suite A, Chickasha, OK 73018. The listed phone number is (405) 224-2100.
What is Grady Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Grady Memorial Hospital enrolled in Medicare?
Yes. Grady Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grady Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 6 Medicare specialties reassign their Medicare billing to Grady Memorial Hospital. 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 Nurse Practitioner (10), Family Practice (7) and Pediatric Medicine (2). Of these, 14 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Grady Memorial Hospital accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Grady Memorial Hospital 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 Grady Memorial Hospital was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Grady Memorial Hospital · NPI 1164859260
Rural Health organization in Chickasha, Oklahoma. Organization record, active in the CMS NPPES registry since October 3, 2013.
## Identity
- **NPI:** 1164859260 (Entity type: Organization)
- **Enumerated:** October 3, 2013
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Five Oaks Family Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Steve Pautler, CEO
## Practice location
- **Address:** 2100 W IOWA AVE, SUITE A, Chickasha, OK 73018-2736
- **Phone:** (405) 224-2100 · **Fax:** (405) 779-2346
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (7), Pediatric Medicine (2); 14 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1164859260/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2026
- **Other identifiers:** Medicaid 100700820 K (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1164859260) · Data from the CMS NPPES public registry.