NPIMap

Individual provider Active NPI

Andrew Paul Polito, D.O.

  • Pulmonary Disease Physician
  • Tulsa, OK
National Provider Identifier
1215355037
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5798 Issued in OK
Practice address
717 S Houston Ave Ste 400
Tulsa, OK 74127-9007
Phone
(918) 631-8130
Fax
(918) 631-8134
NPI assigned
Mar 29, 2014
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5798 OK Primary

Addresses

Primary practice location

717 S Houston Ave Ste 400
Tulsa, OK 74127-9007

Mailing address

5310 E 31St St Ste 13
Tulsa, OK 74135-5013
Phone (918) 561-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402002924 OK Practitioner - Pulmonary Disease 9234429507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

744 W 9TH St
Ok State Univ Med CNTR
Tulsa, OK 74127-9020

9645 Riverside Pkwy
Suite C
Tulsa, OK 74137-7427
Phone (918) 209-5170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
81.62
Promoting interoperability
99
Improvement activities
40
Cost
72.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osumc Professional Services LLC Pulmonary Disease CurrentSince Mar 21, 2024 Accepting new patients
Oklahoma State University Internal Medicine Past Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

717 S Houston Ave
Ste 457
Tulsa, OK 74127

802 S Jackson Ave
Ste 310
Tulsa, OK 74127
Phone (918) 599-5192

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170

Dept 2732
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: apolito714569@directa.mercy.net
  • Direct secure messaging: apolito83369@direct.saintfrancis.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1215355037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST STE 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355013",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279007",
            "telephone_number": "918-631-8130",
            "fax_number": "918-631-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.