Active NPI
Kavita K Shah, MD
- Diabetology (Internal Medicine) Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetology (Internal Medicine) Physician
- License
- 28092
- Practice address
- 6126 E 61St St
Tulsa, OK 74136-2117 - Phone
- (918) 576-6998
- Fax
- (918) 584-8620
- NPI assigned
- May 11, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 28092 | OK | |
| Diabetology (Internal Medicine) Physician | 207QB0505X | 28092 | OK | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | DR.0071548 | CO | |
| Internal Medicine Physician | 207R00000X | 28092 | OK | |
| Internal Medicine Physician | 207R00000X | 77175 | AZ | |
| Internal Medicine Physician | 207R00000X | P7348 | TX |
Addresses
Primary practice location
6126 E 61St St
Tulsa, OK 74136-2117
Mailing address
6126 E 61St St
Tulsa, OK 74136-2117
Phone (918) 576-6998
Other practice location 1
12801 E 17th Ave
Mail stop 8106
Aurora, CO 80045
Phone (303) 724-8098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200306790A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Missouri, Kansas City, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
Hospital & facility affiliations
- Ascension St John Medical Center
- Ascension St John Jane Phillips
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77175 | AZ | MD | Internal Medicine Physician |
| DR.0071548 | CO | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Baylor College of Medicine | Internal Medicine | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Tulsa Hospital Medicine Physicians Group, LLC | Internal Medicine | Current | Accepting new patients |
Locations
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
Interoperability endpoints
- kshah20843@muscogeecreeknation.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1174738413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 E 61ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741362117",
"telephone_number": "918-576-6998",
"fax_number": "918-584-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 E 61ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741362117",
"telephone_number": "918-576-6998",
"fax_number": "918-584-8620"
}
],
"practiceLocations": [
{
"address_1": "12801 E 17th Ave",
"address_2": "Mail stop 8106",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "80045",
"country_code": "US",
"telephone_number": "303-724-8098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "KAVITA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OK",
"license": "28092",
"primary": false
},
{
"code": "207QB0505X",
"taxonomy_group": "",
"desc": "Internal Medicine, Diabetology",
"state": "OK",
"license": "28092",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CO",
"license": "DR.0071548",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "28092",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "77175",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P7348",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200306790A",
"state": "OK"
}
],
"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 Aug 31, 2026; 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.