Individual provider Active NPI

Kenneth Calrisian Reed, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
National Provider Identifier
1033315437
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
28440 Issued in OK
Practice address
9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone
(918) 901-9701
Fax
(918) 901-9702
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 28440 OK Primary

Addresses

Primary practice location

9320 S Mingo Rd
Tulsa, OK 74133-5710

Mailing address

9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone (918) 901-9701

Other identifiers 1

IdentifierTypeStateIssuer
200337180AMedicaidOK

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
I20120723000955 OK Practitioner - Pain ManagementPractitioner - Anesthesiology 5597921387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain of Tulsa PLLCGroup PAC ID 5890034144, 8 clinicians

Practice addresses (Care Compare)

9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone (918) 901-9701

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Merit-based Incentive Payment System (MIPS)

Final score
57.52 of 100Reported as group
Quality
0
Improvement activities
40
Cost
77.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain of Tulsa PLLC Pain Medicine CurrentSince Mar 8, 2019 Accepting new patients
Advanced Family Care, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

9716 Riverside Pkwy
Ste 200
Tulsa, OK 74137
Phone (405) 271-7498

9320 S Mingo Rd
Tulsa, OK 74133
Phone (918) 459-4000

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: advancedpainoftulsa.kennethreed@141752.advancedmd-direct.com

Organizations & group practices 3

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 2

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1033315437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701",
            "fax_number": "918-901-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701",
            "fax_number": "918-901-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KENNETH",
        "middle_name": "CALRISIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "28440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200337180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.