Individual provider Active NPI

Genevieve Dulan, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1033391370
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28017 Issued in OK
Practice address
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone
(405) 896-8058
Fax
(855) 223-1999
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 28017 OK
Family Medicine Physician 207Q00000X 263278 NY
Family Medicine Physician 207Q00000X 28017 OK Primary

Addresses

Primary practice location

101 W Hefner Rd
Oklahoma City, OK 73114-6631

Mailing address

101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone (405) 896-8058

Other practice location 1

10455 N Central Expy Ste 109-517
Dallas, TX 75231-2213
Phone (918) 622-7488

Other practice location 2

10455 N Central Expy Ste 109-517
Dallas, TX 75231-2213
Phone (918) 622-7488

Other practice location 3

10912 E 14th St
Tulsa, OK 74128
Phone (877) 866-7123

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
I20121205000012 OK Practitioner - Family PracticePractitioner - General PracticePractitioner - Peripheral Vascular Disease 5991957656 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagoner Hospital AuthorityGroup PAC ID 0042217531, 20 clinicians
Elite Integral Staffing LLCGroup PAC ID 0648612341, 15 clinicians

Practice addresses (Care Compare)

1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-5514

1800 W University Blvd
Durant, OK 74701-3006
Phone (719) 688-1483

901 S 5TH Ave
Madill, OK 73446-3640
Phone (719) 688-1483

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263278NYMDFamily Medicine Physician
28017OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Jul 29, 2019 Accepting new patients
Physician Housecalls LLC Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Elite Integral Staffing LLC CurrentSince Oct 1, 2025 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 2, 2022 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Jul 29, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 2, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 20, 2016 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 20, 2016 Accepting new patients
Ingrid W. Jackson, M.D., LLC Family Medicine Past Accepting new patients
Family Uncensored Mental Health Services LLC Past Accepting new patients
Marshall County Hma, LLC Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

Dept 1467
Tulsa, OK 74182

10912 E 14th St
Tulsa, OK 74128
Phone (918) 438-2440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4
  • Direct secure messaging: genevieve.dulan.1@14254.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1033391370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146631",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146631",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10455 N Central Expy Ste 109-517",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752312213",
            "country_code": "US",
            "telephone_number": "918-622-7488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10455 N Central Expy Ste 109-517",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752312213",
            "country_code": "US",
            "telephone_number": "918-622-7488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10912 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74128",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULAN",
        "first_name": "GENEVIEVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "28017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "263278",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.