Organization Active NPI

Rodi LLC

  • Clinic/Center
  • Tulsa, OK
National Provider Identifier
1063990398
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RODI LLC
Doing business as
rodi llc
Practice address
8316 E 61St St Ste 101-Aa
Tulsa, OK 74133-1910
Phone
(918) 893-3535
Fax
(918) 893-3570
NPI assigned
Jul 30, 2018
Organization subpart
Yes
Parent organization
RODI LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Ahmad Dirawi
Title
Clinic Admin
Phone
(918) 893-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8316 E 61St St Ste 101-Aa
Tulsa, OK 74133-1910

Mailing address

8316 E 61St St Ste 101-Aa
Tulsa, OK 74133-1910
Phone (918) 893-3535

Other identifiers 1

IdentifierTypeStateIssuer
200623310AMedicaidOK

Other names 1

  • rodi llc Doing business as

National Provider Directory

National Provider Directory
Part of
Rodi LLC

Locations

8316 E 61st St
Ste 101AA
Tulsa, OK 74133
Phone (918) 893-3535

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1063990398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101-AA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331910",
            "telephone_number": "918-893-3535",
            "fax_number": "918-893-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101-AA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331910",
            "telephone_number": "918-893-3535",
            "fax_number": "918-893-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RODI LLC",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "DIRAWI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CLINIC ADMIN",
        "authorized_official_telephone_number": "918-893-3535"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200623310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rodi llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "rodi llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.