Individual provider Active NPI

Kash Kendall Biddle, DO

  • General Practice Physician
  • Broken Arrow, OK
National Provider Identifier
1073566659
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2152 Issued in OK
Practice address
3300 S Aspen Ave
Ste C
Broken Arrow, OK 74012-7501
Phone
(918) 455-2416
Fax
(918) 455-7546
NPI assigned
May 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
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
General Practice Physician 208D00000X 2152 OK Primary

Addresses

Primary practice location

3300 S Aspen Ave
Ste C
Broken Arrow, OK 74012-7501

Mailing address

3300 S Aspen Ave
Ste C
Broken Arrow, OK 74012-7501
Phone (918) 455-2416

Other identifiers 1

IdentifierTypeStateIssuer
10045710AMedicaidOK

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
I20080716000227 OK Practitioner - Family Practice 8224101894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
D. Price Kraft M.D. Inc.Group PAC ID 4486737848, 2 clinicians
Auxilium Health Network, LLCGroup PAC ID 4981074119, 3 clinicians

Practice addresses (Care Compare)

10507 E 91St St
Suite 210
Tulsa, OK 74133-5566
Phone (918) 307-5450

3300 S Aspen Ave
Suite C
Broken Arrow, OK 74012-7501
Phone (918) 455-2416

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2152OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D. Price Kraft M.D. Inc. CurrentSince Aug 29, 2025 Accepting new patients
Auxilium Health Network, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

3300 S Aspen Ave
Ste C
Broken Arrow, OK 74012
Phone (918) 237-9627

10507 E 91st St
Ste 210
Tulsa, OK 74133
Phone (918) 307-5450

Organizations & group practices 3

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 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073566659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S ASPEN AVE",
            "address_2": "STE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127501",
            "telephone_number": "918-455-2416",
            "fax_number": "918-455-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S ASPEN AVE",
            "address_2": "STE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127501",
            "telephone_number": "918-455-2416",
            "fax_number": "918-455-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "KASH",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10045710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.