Vishal Mundra, M.B.B.S.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28366 Issued in OK

Practice address

1705 E 19TH St
Ste 302
Tulsa, OK 74104-5405

Phone

(918) 748-7599

Fax

(918) 748-7539

NPI assigned

Jan 8, 2010

Last updated

Jun 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians

Rural Wellness Stroud IncGroup PAC ID 7113310491, 5 clinicians

One Cura Family Clinic-Stroud, Inc.Group PAC ID 9032499231, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Rural Wellness Stroud Hospital Hospital, Stroud, OK, CCN 371316
• Rural Wellness Stroud Hospital Nursing home, CCN 37Z316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vishal.mundra@direct.stjohnhealthsystem.com

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.

• One Cura Family Clinic-Stroud, Inc.

  • Clinic/Center
  • Stroud, OK
  • NPI 1073969358
  Medicare reassignment Care Compare group NPD
• Usacs Observation Medicine Services of Oklahoma, LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1326739111
  Medicare reassignment Care Compare group NPD
• Rural Wellness Stroud Inc.

  • Medical Specialty Clinic/Center
  • Stroud, OK
  • NPI 1609532282
  Medicare reassignment Care Compare group
• Omni Medical Group Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1174578249
  Medicare reassignment NPD
• Rural Wellness Anadarko Inc

  • Medical Specialty Clinic/Center
  • Anadarko, OK
  • NPI 1538825120
  Medicare reassignment NPD
• Rural Wellness Fairfax Inc

  dba Rural Wellness Fairfax Hospital

  • Critical Access Hospital
  • Fairfax, OK
  • NPI 1295362564
  Medicare reassignment NPD
• Rural Wellness Stroud Clinic Inc

  • Family Medicine Physician
  • Stroud, OK
  • NPI 1568282838
  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  OK

  Medicare reassignment NPD
• Rural Wellness Anadarko Inc

  dba Rural Wellness Anadarko Hospital

  • Critical Access Hospital
  • Anadarko, OK
  • NPI 1023774601
  NPD
• Rural Wellness Fairfax Inc

  dba Rural Wellness Fairfax Clinic

  • Rural Health Clinic/Center
  • Fairfax, OK
  • NPI 1790314466
  NPD
• St. John Physicians, Inc

  dba Siggins Memorial Clinic

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD

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

• Rural Wellness Stroud Inc.

  dba Rural Wellness Stroud Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Stroud, OK
  • NPI 1003572678

  Nursing home

  Care Compare affiliation
• Rural Wellness Stroud Inc.

  dba Rural Wellness Stroud Hospital

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1932865508
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1235469503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARVARD AVE",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741154957",
            "telephone_number": "918-832-6049",
            "fax_number": "918-832-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST",
            "address_2": "STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045405",
            "telephone_number": "918-748-7599",
            "fax_number": "918-748-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDRA",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN12648",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK ST LICENSE",
            "identifier": "28366",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley N Mumma, DPT
• Ahmad Mumtaz, M.B.B.S.
• Ian Tharaka Munaweera, DO
• Kendra Muncrief, D.O.
• Paige Muncy
• Andrea M Mundt, BS
• Kristina Mundy
• James N Muniu
• Yajaira Muniz
• Margaret Munkholm

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.

Verify at the official NPI Registry.