Organization Active NPI

Enix Family Health Clinic

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1245182500
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENIX FAMILY HEALTH CLINIC
Practice address
9920 E 21St St
Tulsa, OK 74129-1620
Phone
(918) 999-9999
Fax
(949) 883-4166
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Eniola Osifeso, APRNNPI 1831779040
Title
Owner
Phone
(918) 269-1260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9920 E 21St St
Tulsa, OK 74129-1620

Mailing address

9920 E 21St St
Tulsa, OK 74129-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260331004155 OK Part B Supplier - Clinic/Group Practice 2668957200 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

9920 E 21st St
Tulsa, OK 74129
Phone (918) 999-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1245182500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291620",
            "fax_number": "949-883-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291620",
            "telephone_number": "918-999-9999",
            "fax_number": "949-883-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENIX FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "OSIFESO",
        "authorized_official_first_name": "ENIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-269-1260",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.