Individual provider Active NPI

Atabak Parsa, MD

  • Nephrology Physician
  • Cheverly, MD
National Provider Identifier
1003378126
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
46495 Issued in OK
Practice address
3001 Hospital Dr FL 5
Cheverly, MD 20785-1189
Phone
(301) 618-2273
Fax
(301) 429-1949
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 46495 OK
Nephrology Physician 207RN0300X 46495 OK Primary

Addresses

Primary practice location

3001 Hospital Dr FL 5
Cheverly, MD 20785-1189

Mailing address

3001 Hospital Dr FL 5
Cheverly, MD 20785-1189
Phone (301) 618-3772

Other practice location 1

6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Phone (917) 688-7356

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
I20251211001978 OK Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 3375927973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Nephrology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandr Management Services IncGroup PAC ID 7618248105, 13 clinicians
Tni-Kso PCGroup PAC ID 2062464399, 20 clinicians
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

10505 E 91St St
Suite 205
Tulsa, OK 74133-5829
Phone (918) 307-5490

1145 S Utica Ave
Suite 364
Tulsa, OK 74104-4004
Phone 9187125000144

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

Hospital & facility affiliations

  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Northeastern Health System Hospital, Tahlequah, OK, CCN 370089
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46495OKMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A&R Management Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Tni-Kso PC Nephrology CurrentSince Nov 1, 2025 Accepting new patients
Northeastern Health System CurrentSince Nov 1, 2025 Accepting new patients
Northeastern Health System CurrentSince Nov 1, 2025 Accepting new patients

Locations

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

10505 E 91st St
Ste 205
Tulsa, OK 74133
Phone (708) 724-8599

6465 S Yale Ave
Ste 507
Tulsa, OK 74136
Phone (918) 481-2760

1145 S Utica Ave
Ste 364
Tulsa, OK 74104
Phone (918) 496-5195

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1003378126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR FL 5",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3772",
            "fax_number": "301-618-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR FL 5",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-2273",
            "fax_number": "301-429-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6465 S Yale Ave Ste 507",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367807",
            "country_code": "US",
            "telephone_number": "917-688-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSA",
        "first_name": "ATABAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "46495",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "46495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.