TIMOTHY RAY STOUT
NPI 1174307250
Student in an Organized Health Care Education/Training Program in Tulsa, OK
About Timothy Ray Stout NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY RAY STOUT (NPI 1174307250) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Ray Stout is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Hospital, Inc
Acute Care Hospitals · Tulsa, OKFrequently 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 Timothy Stout's NPI number?
The NPI number for Timothy Stout is 1174307250. It was assigned to this individual provider in the NPPES registry on August 21, 2023.
Where is Timothy Stout located?
Timothy Stout practices at 9119 S 90th East Ave, Tulsa, OK 74133. The listed phone number is (918) 693-0161.
What is Timothy Stout's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Timothy Stout enrolled in Medicare?
Yes. Timothy Stout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Timothy Stout affiliated with any hospitals?
According to CMS data, Timothy Stout is affiliated with Saint Francis Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Timothy Stout was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Timothy Ray Stout · NPI 1174307250
Student in an Organized Health Care Education/Training Program provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since August 21, 2023.
## Identity
- **NPI:** 1174307250 (Entity type: Individual)
- **Enumerated:** August 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 9119 S 90TH EAST AVE, Tulsa, OK 74133-5607
- **Phone:** (918) 693-0161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2025
## Record status
- **NPPES last updated:** August 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174307250) · Data from the CMS NPPES public registry.