Kiamars Golmoradi, DO, MBA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7420 Issued in OK

Practice address

1004 E Bryan Ave
Sapulpa, OK 74066-4513

Phone

(918) 224-4280

Fax

(918) 233-2180

NPI assigned

Apr 7, 2020

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312
• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Ascension St John Sapulpa Nursing home, CCN 37Z312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Business Administration

State licenses

Practice roles

Locations

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.

• Usacs Observation Medicine Services of Oklahoma, LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1326739111
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  Family Medicine, OK

  Medicare reassignment NPD
• Saints Medical Group

  dba Saints On Site at American Fidelity

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1689964645
  NPD (past)
• St John Sapulpa, Inc.

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1922076603
  NPD (past)
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St John Sapulpa, Inc

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1669631792

  Nursing home

  Care Compare affiliation
• St John Sapulpa, Inc.

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1922076603
  Care Compare affiliation
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1114556529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E BRYAN AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664513",
            "telephone_number": "918-224-4280",
            "fax_number": "918-233-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E BRYAN AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664513",
            "telephone_number": "918-224-4280",
            "fax_number": "918-233-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Cameron Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731143701",
            "country_code": "US",
            "telephone_number": "405-416-8505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2824 Progressive Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730347661",
            "country_code": "US",
            "telephone_number": "405-764-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLMORADI",
        "first_name": "KIAMARS",
        "name_prefix": "Dr.",
        "credential": "DO, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gilpin
• Kelsey Girty
• Kelsey Joy Glazier, PA
• Lynndsey Brooke Glenn
• Sarah Louise Goldsborough
• Marna Jane Gonzalez Schmenk, LMSW
• Sondra Faye Graves, OTA
• Rebecca Gray
• Debbie Greever
• Leah K Gruns, MS CCC-SLP

• Family Medicine Physician in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.

Verify at the official NPI Registry.