Active NPI
Dixitha Anugula, M.B.B.S
- Cardiovascular Disease Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 41077
- Practice address
- 1265 S Utica Ave Ste 300
Tulsa, OK 74104-4243 - Phone
- (918) 592-0999
- Fax
- (918) 592-1021
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 41077 | OK | Primary |
Addresses
Primary practice location
1265 S Utica Ave Ste 300
Tulsa, OK 74104-4243
Mailing address
1265 S Utica Ave Ste 300
Tulsa, OK 74104-4243
Phone (918) 592-0999
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920001678 | OK | Practitioner - Cardiovascular Disease (Cardiology) | 1557643012 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Oklahoma Heart LLC
Practice addresses (Care Compare)
1265 S Utica Ave
Suite 300
Tulsa, OK 74104-4243
Phone (918) 592-0999
Hospital & facility affiliations
- Hillcrest Medical Center
- Hillcrest Hospital South
- Hillcrest Hospital Claremore
- Hillcrest Hospital Henryetta
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41077 | OK | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Heart LLC | Current | Accepting new patients | |
| Integris Cardiovascular Physicians LLC | Cardiovascular Disease | Past | Accepting new patients |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients |
Locations
Dept 1218
Tulsa, OK 74182
9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820
1265 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 855-2570
Interoperability endpoints
- danugula881664@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
Cardiovascular Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1104201722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 S UTICA AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741044243",
"telephone_number": "918-592-0999",
"fax_number": "918-592-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S UTICA AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741044243",
"telephone_number": "918-592-0999",
"fax_number": "918-592-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUGULA",
"first_name": "DIXITHA",
"name_prefix": "Dr.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OK",
"license": "41077",
"primary": true
}
],
"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 Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.