Individual provider Active NPI

Pranay Kathuria, MD FACP

  • Nephrology Physician
  • Tulsa, OK
National Provider Identifier
1073583431
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20384 Issued in OK
Practice address
591 E 36TH St N
Tulsa, OK 74106-1812
Phone
(918) 619-4400
Fax
(918) 619-4591
NPI assigned
Jan 26, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20384 OK Primary

Addresses

Primary practice location

591 E 36TH St N
Tulsa, OK 74106-1812

Mailing address

PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 619-4400

Other identifiers 1

IdentifierTypeStateIssuer
100257970CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040603001160 OK Practitioner - NephrologyPractitioner - Internal Medicine 8921080896 Reassigns benefits to 3 organizations
I20241126000519 TX Practitioner - Nephrology 8921080896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates, Inc.Group PAC ID 9234020629, 21 clinicians

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 510
Tulsa, OK 74104-5642
Phone (918) 747-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.65 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
82.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa CurrentSince Jan 1, 2004 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Nephrology Associates, Inc. Nephrology CurrentSince May 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 5, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 5, 2024 Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

3500 State St
Bartlesville, OK 74006
Phone (918) 224-9620

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600

2000 S Wheeling Ave
Ste 510
Tulsa, OK 74104
Phone (918) 747-5200

2815 S Sheridan Rd
Tulsa, OK 74129
Phone (918) 838-4760

591 E 36th St N
Tulsa, OK 74106
Phone (918) 619-8700

Dept 1467
Tulsa, OK 74182

Dept 515
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: pkathuria23290@muscogeecreeknation.direct-ci.com
  • Direct secure messaging: pkathuria65675@direct.acumenmd.com

Organizations & group practices 7

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 9

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1073583431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-619-4400",
            "fax_number": "918-619-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061812",
            "telephone_number": "918-619-4400",
            "fax_number": "918-619-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHURIA",
        "first_name": "PRANAY",
        "credential": "MD  FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "20384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257970C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.