Active NPI
Kiran Shahzadi Gill
- Acute Care Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 101757
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136 - Phone
- (918) 307-6000
- Fax
- (918) 494-6303
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101757 | OK | |
| Acute Care Nurse Practitioner | 363LA2100X | 101757 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101757 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Tulsa County, LLC | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Tulsa Hospital Medicine Physicians Group, LLC | Current | Accepting new patients | |
| Oklahoma Infectious Disease Specialists, LLC | Current | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Interoperability endpoints
- kgill867545@ahs.direct-ci.com
- kgill31089@direct.saintfrancis.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 1144982711
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1497417067
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1215422670",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74136",
"telephone_number": "918-307-6000",
"fax_number": "918-494-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "KIRAN",
"middle_name": "SHAHZADI",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "101757",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "101757",
"primary": true
}
],
"identifiers": [],
"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 Oct 25, 2023; 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.