Individual provider Active NPI

Sean Mark Krahenbuhl, D.O.

  • Anesthesiology Physician
  • Tulsa, OK
National Provider Identifier
1235495870
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
6010 Issued in OK
Practice address
2123 S Atlanta PL Ste 200
Tulsa, OK 74114-1780
Phone
(918) 630-2665
NPI assigned
Apr 9, 2012
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10042694 TX
Anesthesiology Physician 207L00000X Q4620 TX
Anesthesiology Physician 207L00000X 6010 OK Primary

Addresses

Primary practice location

2123 S Atlanta PL Ste 200
Tulsa, OK 74114-1780

Mailing address

PO Box 4736
Tulsa, OK 74159-0736

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
I20160817002310 OK Practitioner - Anesthesiology 5890098537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6010OKMDGeneral Practice Dentistry
Q4620TXMDAnesthesiology Physician
BP10042694TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Jan 11, 2023 Accepting new patients
SK Anesthesia PLLC Anesthesiology CurrentSince Jan 22, 2023 Accepting new patients
918 Anesthesia PLLC Anesthesiology CurrentSince Jan 22, 2023 Accepting new patients
Integral Anesthesia, LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients

Locations

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

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

2123 S Atlanta Pl
Ste 200
Tulsa, OK 74114
Phone (918) 630-2665

8222 E 103rd St
Ste 133
Tulsa, OK 74133
Phone (918) 921-8822

Organizations & group practices 4

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 2

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1235495870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4736",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 S ATLANTA PL STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141780",
            "telephone_number": "918-630-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHENBUHL",
        "first_name": "SEAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10042694",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q4620",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.