Active NPI
Anil Kumar Reddy, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 21535
- Practice address
- 9725 East 79TH Street
Suit a
Tulsa, OK 74133-4569 - Phone
- (918) 252-0112
- Fax
- (918) 252-0103
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 21535 | OK | Primary |
Addresses
Primary practice location
9725 East 79TH Street
Suit a
Tulsa, OK 74133-4569
Mailing address
9725 East 79TH Street
Suit a
Tulsa, OK 74133-4569
Phone (918) 252-0112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200216530A | Medicaid | OK | |
| 100010230B | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9725 E 79TH St
Suite a
Tulsa, OK 74133-4569
Phone (918) 252-0112
Hospital & facility affiliations
- Pam Rehabilitation Hospital of Tulsa
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 70.01
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21535 | OK | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Practice Management Inc | Pain Medicine | Current | Accepting new patients |
| Dr Ashok Kache MD Inc | Past | Accepting new patients |
Locations
9725 E 79th St
Ste A
Tulsa, OK 74133
Phone (918) 252-0112
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HAFDCA
- https://fhir4.healow.com/fhir/r4/HAFDCA/Endpoint/HAFDCA
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tulsa, OK
- NPI 1811907538
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1295914414
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Tulsa, OK
- NPI 1730635301
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1003981135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 EAST 79TH STREET",
"address_2": "SUIT A",
"city": "TULSA",
"state": "OK",
"postal_code": "741334569",
"telephone_number": "918-252-0112",
"fax_number": "918-252-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 EAST 79TH STREET",
"address_2": "SUIT A",
"city": "TULSA",
"state": "OK",
"postal_code": "741334569",
"telephone_number": "918-252-0112",
"fax_number": "918-252-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "ANIL",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OK",
"license": "21535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200216530A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100010230B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.