Active NPI
David Lyle Combs, MD
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1013968619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17660
- Practice address
- 9001 S 101St East Ave
350
Tulsa, OK 74133-5708 - Phone
- (918) 392-5500
- Fax
- (918) 392-5512
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17660 | OK | Primary |
Addresses
Primary practice location
9001 S 101St East Ave
350
Tulsa, OK 74133-5708
Mailing address
7912 E 31St CT
Ste 210
Tulsa, OK 74145-1315
Phone (918) 392-4477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255760C | Medicaid | OK | |
| 800522535 | Other | OK | MEDICARE GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17660 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broken Arrow Medical Group LLC | Family Medicine | Past | Accepting new patients |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- david.combs@qm.eclinicaldirectplus.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- https://fhir4.healow.com/fhir/r4/DJCFCD/Endpoint/DJCFCD
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1013968619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7912 E 31ST CT",
"address_2": "STE 210",
"city": "TULSA",
"state": "OK",
"postal_code": "741451315",
"telephone_number": "918-392-4477",
"fax_number": "918-392-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "350",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-392-5500",
"fax_number": "918-392-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "DAVID",
"middle_name": "LYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "17660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255760C",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "800522535",
"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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.