Organization Active NPI

Rapha Neurology and Neurocritical Care PLLC

  • Neurocritical Care Physician
  • Tulsa, OK
National Provider Identifier
1093682122
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
Legal business name
RAPHA NEUROLOGY AND NEUROCRITICAL CARE PLLC
Practice address
4835 S Fulton Ave Ste 105
Tulsa, OK 74135-6976
Phone
(918) 398-4418
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Taylor Claybrook, APRNNPI 1013326024
Title
Owner
Phone
(918) 344-9422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A2900X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

4835 S Fulton Ave Ste 105
Tulsa, OK 74135-6976

Mailing address

4835 S Fulton Ave Ste 105
Tulsa, OK 74135-6976
Phone (918) 398-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260127001333 OK Part B Supplier - Clinic/Group Practice 8729565254 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

4835 S Fulton Ave
Ste 105
Tulsa, OK 74135
Phone (918) 398-4418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1093682122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 S FULTON AVE STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356976",
            "telephone_number": "918-398-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 S FULTON AVE STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356976",
            "telephone_number": "918-398-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA NEUROLOGY AND NEUROCRITICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "CLAYBROOK",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-344-9422",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.