Individual provider Active NPI

Aelayna Meyer, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1043445620
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27119 Issued in OK
Practice address
9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone
(918) 492-8980
Fax
(918) 495-0607
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 62088-20 WI
MOHS-Micrographic Surgery Physician 207ND0101X 27119 OK
MOHS-Micrographic Surgery Physician 207ND0101X 62088-20 WI
Internal Medicine Physician 207R00000X 27119 OK Primary

Addresses

Primary practice location

9245 S Mingo Rd
Tulsa, OK 74133-5793

Mailing address

1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825

Other practice location 1

510 N 17th Ave
Suite C
Wausau, WI 54401-4200
Phone (715) 849-5333

Other practice location 2

5501A Vern Holmes Dr
Stevens Point, WI 54482-9791
Phone (715) 344-0172

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Aelayna.Meyer@forefrontdermatology.emadirect.md
Direct Messaging Address Aelayna.Meyer@forefrontdermatology.emadirect.md

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
I20220827000430 OK Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1557586203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Oklahoma College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Skin Surgery and Cosmetic Dermatology, P.C.Group PAC ID 0941494314, 2 clinicians

Practice addresses (Care Compare)

5801 E 41St St
Suite 200
Tulsa, OK 74135-5600

5801 E 41St St
Suite 200
Tulsa, OK 74135-5627
Phone (918) 293-9966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision78
Removal of skin lesions1-10
Removal of skin cancer688
Skin biopsy28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Skin Surgery & Cosmetic Dermatology, P.C. Mohs-Micrographic Surgery CurrentSince Jan 1, 2025 Accepting new patients
Carlos Gomez-Meade DO PC Mohs-Micrographic Surgery PastSince Mar 23, 2024 Accepting new patients

Locations

1440 Terrace Dr
Tulsa, OK 74104
Phone (918) 239-9966

5801 E 41st St
Ste 200
Tulsa, OK 74135
Phone (918) 293-9966

Interoperability endpoints

  • Direct secure messaging: ameyer558047@ahs.direct-ci.com
  • Direct secure messaging: aelayna.meyer@forefrontdermatology.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1043445620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044013",
            "telephone_number": "918-579-3825",
            "fax_number": "918-579-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-492-8980",
            "fax_number": "918-495-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 N 17th Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014200",
            "country_code": "US",
            "telephone_number": "715-849-5333",
            "fax_number": "715-849-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544829791",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "AELAYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "62088-20",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "27119",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "62088-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "27119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aelayna.Meyer@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "510 N 17th Ave",
            "address_2": "Suite C",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aelayna.Meyer@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544829791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.