Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob M Tipps, MD

Individual provider Family Medicine Physician · NPI 1790309870

Jacob M Tipps, MD is a Family Practice in Edmond, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2020, 6 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2557 Old Timbers Dr
Edmond, OK 73034-9813
Phone: (405) 669-2600
Fax: (405) 500-1232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35969 (OK)

Record details

NPI number1790309870
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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