Individual provider Active NPI

Christopher R Klotz, M.D.

  • Family Medicine Physician
  • Collinsville, OK
National Provider Identifier
1114904000
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18429 Issued in OK
Practice address
11610 N 137TH East Ave
Collinsville, OK 74021-3601
Phone
(918) 272-2247
Fax
(918) 272-6185
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18429 OK Primary

Addresses

Primary practice location

11610 N 137TH East Ave
Collinsville, OK 74021-3601

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 499-4855

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
I20090218000611 OK Practitioner - Family Practice 3072678457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Saint Francis Home Health Home health agency, Tulsa, OK, CCN 377107
  • Enhabit Home Health of Northeast Oklahoma Home health agency, Broken Arrow, OK, CCN 377572
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • St John Owasso Hospital, Owasso, OK, CCN 370227
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jul 10, 2023 Accepting new patients
Omni Medical Group Inc Family Medicine CurrentSince Feb 1, 2008 Accepting new patients

Locations

11610 N 137th East Ave
Collinsville, OK 74021
Phone (918) 272-2247

1401 E Van Buren Ave
McAlester, OK 74501
Phone (918) 421-8440

12455 E 100th St N
Ste 120
Owasso, OK 74055
Phone (918) 274-5510

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

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

1515 N Harvard Ave
Ste E
Tulsa, OK 74115
Phone (918) 832-6049

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: cklotz293099@direct.saintfrancis.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1114904000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-499-4855",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 N 137TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213601",
            "telephone_number": "918-272-2247",
            "fax_number": "918-272-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, OK

Sources for this page

Verify at the official NPI Registry.