Crossroads Medical Management LLC
NPI 1780011874 · Family Medicine Physician · Shawnee, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crossroads Medical Management LLC is a Family Medicine Physician organization in Shawnee, OK (NPI 1780011874).
Provider details
- NPI number
- 1780011874
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randy Kerr, Vp of Operations(405) 873-8268
- License
- 19091
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cohesive Family Medicine
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is Crossroads Medical Management LLC's NPI number?
- Crossroads Medical Management LLC's National Provider Identifier (NPI) is 1780011874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crossroads Medical Management LLC?
- Crossroads Medical Management LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crossroads Medical Management LLC located?
- Crossroads Medical Management LLC's practice location on file with NPPES is 2508 N Harrison St, Shawnee, OK 74804-3131.
- What is Crossroads Medical Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Crossroads Medical Management LLC is (405) 585-2030.
- Does Crossroads Medical Management LLC accept Medicare?
- Crossroads Medical Management LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crossroads Medical Management LLC?
- The authorized official listed on Crossroads Medical Management LLC's NPPES record is Randy Kerr, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crossroads Medical Management LLC's NPI active?
- Yes — Crossroads Medical Management LLC's NPI (1780011874) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.