Individual provider Active NPI

Lori A Hubbard, MD

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1184739328
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23769 Issued in OK
Practice address
2000 S Wheeling Ave Ste 800
Tulsa, OK 74104-5462
Phone
(918) 747-9641
Fax
(918) 746-2252
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23769 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 800
Tulsa, OK 74104-5462

Mailing address

2000 S Wheeling Ave Ste 800
Tulsa, OK 74104-5647
Phone (918) 747-9641

Other practice location 1

1919 S Wheeling Ave
Ste 500
Tulsa, OK 74104-5634
Phone (918) 293-6200

Other identifiers 1

IdentifierTypeStateIssuer
20002483AMedicaidOK

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
I20040623000841 OK Practitioner - Obstetrics/Gynecology 7416932330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa OB GYN Assoc IncGroup PAC ID 9335141381, 7 clinicians

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 800
Tulsa, OK 74104-5647
Phone (918) 746-2255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23769OKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Oklahoma, P.C. Obstetrics & Gynecology CurrentSince Aug 26, 2024 Accepting new patients
Tulsa OB GYN Assoc Inc Obstetrics & Gynecology CurrentSince May 25, 2011 Accepting new patients
Tulsa Perinatal Evaluation Center PastSince Nov 20, 2022 Accepting new patients

Locations

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

2000 S Wheeling Ave
Ste 800
Tulsa, OK 74104
Phone (918) 746-2255

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12357/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lori.hubbard.1@12357.direct.athenahealth.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.

Hospital & facility affiliations 3

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1184739328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045647",
            "telephone_number": "918-747-9641",
            "fax_number": "918-746-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045462",
            "telephone_number": "918-747-9641",
            "fax_number": "918-746-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Wheeling Ave",
            "address_2": "Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045634",
            "country_code": "US",
            "telephone_number": "918-293-6200",
            "fax_number": "918-293-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "23769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20002483A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.