Individual provider Active NPI

Colby James Coulson, MD

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1215136361
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28953 Issued in OK
Practice address
5801 E. 41St Street
Suite 900
Tulsa, OK 74135-5631
Phone
(918) 934-8347
Fax
(918) 743-8552
NPI assigned
Jul 17, 2007
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28953 OK Primary

Addresses

Primary practice location

5801 E. 41St Street
Suite 900
Tulsa, OK 74135-5631

Mailing address

PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 934-8347

Other identifiers 2

IdentifierTypeStateIssuer
200456810AMedicaidOK
P01200332OtherOKRR MEDICARE

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
I20120703000634 OK Practitioner - Diagnostic Radiology 4880859438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa X-Ray Laboratory IncGroup PAC ID 4183537426, 29 clinicians
Tulsa X-Ray Laboratory PLLCGroup PAC ID 6103302724, 31 clinicians

Practice addresses (Care Compare)

10715 S 96TH E Ave
Tulsa, OK 74133-6173
Phone (918) 579-1000

5801 E
41St Suite 900
Tulsa, OK 74135-5631

5801 E 41St St
Suite 900
Tulsa, OK 74135-5631
Phone (918) 934-8347

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28953TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Fidelis Radiology, Inc. Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients

Locations

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

7718 E 91st St
Ste 220
Tulsa, OK 74133
Phone (918) 392-0720

Interoperability endpoints

  • Direct secure messaging: ccoulson707033@ahs.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1215136361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590930",
            "telephone_number": "918-934-8347",
            "fax_number": "918-743-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E. 41ST STREET",
            "address_2": "SUITE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-934-8347",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULSON",
        "first_name": "COLBY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "28953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456810A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01200332",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.