Kimberlie K Dullye, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

18430 Issued in OK

Practice address

744 W 9TH St
Tulsa, OK 74127-9020

Phone

(918) 587-2561

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

University of Oklahoma College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utb Anesthesia PLLCGroup PAC ID 0547448524, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Utb Anesthesia PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1407150709
  Medicare reassignment Care Compare group NPD
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816
  NPD (past)

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

• Oklahoma State University Medical Trust

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1023026762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E 44TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054213",
            "telephone_number": "918-745-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279020",
            "telephone_number": "918-587-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLYE",
        "first_name": "KIMBERLIE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "18430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSOK",
            "identifier": "010672601002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vikki J Duke, AU.D.
• Jessica Mae Dukes, CRNA
• Kevin M Dukes, MD
• Scott Thomas Dull, M.D.
• Ashlye Dullye, DO
• Larry J Dullye, DO
• Halina Dulowski, BA
• Madison Anne Snow Dulworth, PA-C
• Jules Arthur Dumais, M.D.
• Earl Dumas III

• Anesthesiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.

Verify at the official NPI Registry.