Sally Alchammat
Individual provider Active NPI Physician Assistant · Tulsa, OK
NPI 1063381069 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1063381069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2000 S Wheeling Ave Ste 1110
Tulsa, OK 74104-5651 - Phone
- (918) 301-6018
- Fax
- (918) 770-0085
- NPI assigned
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. John Physicians, Inc.
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
Hospital & facility affiliations
- Ascension St John Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260322000033 | OK | Practitioner - Physician Assistant | 6507340106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2000 S Wheeling Ave Ste 1110
Tulsa, OK 74104-5651
Mailing address
1101 S Kalanchoe Ave
Broken Arrow, OK 74012-0978
Other providers in Tulsa, OK
- Ernesto Alcala
- John Paul Hernandez Alcala
- Daniela Alcantar
- Cherice Carmi Alce
- Linda Alchami
- David Michael Alcorn
- Jennifer Alcorn
- Katharyn Ruth Alcorn
- Elah Marie Garcia Alcuitas
- Luke Samuel Aldag
All providers in Tulsa, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.