Individual provider Active NPI

Joel David Stenzel, MD

  • Neonatal-Perinatal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1073597175
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
3026-320 Issued in WI
Practice address
1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012
Phone
(918) 579-5402
Fax
(918) 579-5404
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 3026-320 WI Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 26110 IA

Addresses

Primary practice location

1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012

Mailing address

1500 S Frisco Ave Apt 8E
Tulsa, OK 74119-3837
Phone (515) 208-7915

Other identifiers 3

IdentifierTypeStateIssuer
0036798MedicaidIA
204730204MedicaidMO
09366OtherIAWELLMARK BCBS

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
I20200504001317 OK Practitioner - Pediatric Medicine 0749290666 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26110IAMDNeonatal-Perinatal Medicine Physician
3026-320WIMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Neonatal-Perinatal Medicine CurrentSince May 19, 2023 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Feb 1, 2023 Accepting new patients
Newborn Specialists of Tulsa, P.C. Neonatal-Perinatal Medicine CurrentSince May 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince May 19, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Feb 1, 2023 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Pediatrix Medical Group of Wisconsin, SC Neonatal-Perinatal Medicine Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

1120 S Utica Ave
Ste 2123
Tulsa, OK 74104
Phone (918) 579-5402

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

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

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

Interoperability endpoints

  • Direct secure messaging: jstenzel119416@ahs.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1073597175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S FRISCO AVE APT 8E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741193837",
            "telephone_number": "515-208-7915",
            "fax_number": "918-579-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "SUITE 2123",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-5402",
            "fax_number": "918-579-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENZEL",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "3026-320",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IA",
            "license": "26110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036798",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204730204",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "09366",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.