Individual provider Active NPI

Lisa Gay King, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1073545885
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19042 Issued in OK
Practice address
9001 S 101St East Ave
Suite 230
Tulsa, OK 74133-5708
Phone
(918) 392-5411
Fax
(918) 392-5416
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19042 OK Primary

Addresses

Primary practice location

9001 S 101St East Ave
Suite 230
Tulsa, OK 74133-5708

Mailing address

9001 S 101St East Ave
Suite 230
Tulsa, OK 74133-5708
Phone (918) 392-5411

Other identifiers 1

IdentifierTypeStateIssuer
100119280AMedicaidOK

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
I20040907000421 OK Practitioner - Internal Medicine 4082680558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1305 E Taft Ave
Sapulpa, OK 74066-6033
Phone (918) 574-0300

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

8803 S 101St E Ave
Suite 165
Tulsa, OK 74133-5750
Phone (918) 459-8824

9001 S 101St E Ave
Tulsa, OK 74133-5796

9001 S 101St E Ave
Suite 230
Tulsa, OK 74133-5797
Phone (918) 392-5470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19042OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2011 Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1100
Tulsa, OK 74182

9001 S 101st East Ave
Ste 230
Tulsa, OK 74133
Phone (918) 392-5411

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

9001 S 101st East Ave
Ste 300
Tulsa, OK 74133
Phone (918) 392-5424

1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838

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

9001 S 101st East Ave
Ste 270
Tulsa, OK 74133
Phone (918) 392-5470

Dept 1206
Tulsa, OK 74182

8803 S 101st East Ave
Ste 320
Tulsa, OK 74133
Phone (918) 250-7625

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: lking113251@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1073545885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "SUITE 230",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-392-5411",
            "fax_number": "918-392-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "SUITE 230",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-392-5411",
            "fax_number": "918-392-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LISA",
        "middle_name": "GAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "19042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.