Active NPI
Kenneth Calrisian Reed, MD
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 28440
- 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
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 (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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200337180A | 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
- Pain Management
- Education
- University of Colorado School of Medicine, Denver, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone (918) 901-9701
Hospital & facility affiliations
- Saint Francis Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.52 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain of Tulsa PLLC | Pain Medicine | Current | Accepting new patients |
| Advanced Family Care, PLLC | Current | 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
- 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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1104670884
-
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
- NPI 1699246645
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.