Active NPI
Rodi LLC
- Clinic/Center
- Tulsa, OK
National Provider Identifier
1063990398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200623310A | Medicaid | OK |
Other names 1
- rodi llc
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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1467817940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1396783908
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.