NPIMap

Organization Active NPI

Midwest Wellness and Wound Care LLC

  • General Practice Physician
  • Tulsa, OK
National Provider Identifier
1033904040
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MIDWEST WELLNESS AND WOUND CARE LLC
Practice address
2448 E 81St St Ste 5626
Tulsa, OK 74137-4309
Phone
(918) 615-8366
NPI assigned
Apr 10, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Dr. Kinya Kamau, MDNPI 1952426579
Title
Partner
Phone
(888) 782-7114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2448 E 81St St Ste 5626
Tulsa, OK 74137-4309

Mailing address

2448 E 81St St Ste 5626
Tulsa, OK 74137-4309
Phone (888) 782-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AZ, TX, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20250417003066 OK Part B Supplier - Clinic/Group Practice 0244755635 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK
O20250902000517 AZ Part B Supplier - Clinic/Group Practice 0244755635 Receives reassigned benefits from 5 practitioners
Practice locations: Glendale, AZ
O20250929003640 TX Part B Supplier - Clinic/Group Practice 0244755635 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX
O20251016002258 IL Part B Supplier - Clinic/Group Practice 0244755635 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

21255 Burbank Blvd
Woodland Hills, CA 91367
Phone (918) 615-8366

1 N State St
Fl 15
Chicago, IL 60602
Phone (312) 566-7079

101 Convention Center Dr
Las Vegas, NV 89109
Phone (847) 234-7111

2403 Sidney St
Pittsburgh, PA 15203
Phone (412) 419-3531

5605 N MacArthur Blvd
#10
Irving, TX 75038

460 W 50 N
Salt Lake City, UT 84101

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1033904040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5626",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374309",
            "telephone_number": "888-782-7114",
            "fax_number": "888-557-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5626",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374309",
            "telephone_number": "918-615-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WELLNESS AND WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "KINYA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "888-782-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.