Individual provider Active NPI

Dominic Losacco, MD

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1063452571
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10161 Issued in OK
Practice address
6565 S Yale Ave
Ste 706
Tulsa, OK 74136-8308
Phone
(918) 491-5767
Fax
(918) 491-5771
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10161 OK Primary

Addresses

Primary practice location

6565 S Yale Ave
Ste 706
Tulsa, OK 74136-8308

Mailing address

6565 S Yale Ave
Ste 706
Tulsa, OK 74136-8308
Phone (918) 491-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 14, 2016 through Mar 14, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10161OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joe Speer, MD, LLC Psychiatry PastSince Oct 1, 2019 Accepting new patients
Dominic Losacco MD Inc Psychiatry Past Accepting new patients

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063452571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "STE 706",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368308",
            "telephone_number": "918-491-5767",
            "fax_number": "918-491-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "STE 706",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368308",
            "telephone_number": "918-491-5767",
            "fax_number": "918-491-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSACCO",
        "first_name": "DOMINIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "10161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.