Individual provider Active NPI

David DO, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
National Provider Identifier
1003256819
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
38084 Issued in OK
Practice address
2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone
(918) 935-3240
Fax
(918) 935-3241
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 38084 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X OR

Addresses

Primary practice location

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242

Mailing address

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone (918) 935-3240

Other practice location 1

3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011
Phone (503) 494-8220

Other practice location 2

6048A S Sheridan Rd
Tulsa, OK 74145-9212
Phone (918) 935-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709000486 OK Practitioner - Pain ManagementPractitioner - Anesthesiology 5395081327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Oregon Health Sciences University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Pain and WellnessGroup PAC ID 8820328719, 15 clinicians
Seva HealthcareGroup PAC ID 5991146441, 2 clinicians
Seva Anesthesia Services Ok PLCGroup PAC ID 9739590357, 3 clinicians

Practice addresses (Care Compare)

2811 E 15TH St
102 Seva Med Care
Tulsa, OK 74104-5242
Phone (918) 935-3240

3333 E 77TH St
Tulsa, OK 74136-8042
Phone (918) 488-9884

6048 S Sheridan Rd
Suite a
Tulsa, OK 74145-9244
Phone (918) 935-3240

Merit-based Incentive Payment System (MIPS)

Final score
73.46 of 100Reported as group
Quality
55.47
Improvement activities
40
Cost
41.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Seva Pain and Wellness Pain Medicine CurrentSince Jul 12, 2021 Accepting new patients
Seva Healthcare CurrentSince Apr 17, 2024 Accepting new patients
Oklahoma Pain and Wellness Center, PLC Current Accepting new patients
Seva Pain and Wellness Pain Medicine CurrentSince Jul 12, 2021 Accepting new patients
Professional Anesthesiology Surgical Services, PC PastSince Jan 17, 2026 Accepting new patients

Locations

2811 E 15th St
Ste 102
Tulsa, OK 74104
Phone (918) 701-2000

6048 S Sheridan Rd
Ste A
Tulsa, OK 74145
Phone (918) 935-3240

2811 E 15th St
Ste 101
Tulsa, OK 74104
Phone (918) 488-9884

1850 Lakepointe Dr
Ste 700
Lewisville, TX 75057
Phone (214) 306-4116

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAEDD/Endpoint/EEAEDD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1003256819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "OHSU",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6048A S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459212",
            "country_code": "US",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "38084",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.