Active NPI
Seva Healthcare
- Multi-Specialty Clinic/Center
- Tulsa, OK
National Provider Identifier
1275397812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SEVA HEALTHCARE
- Practice address
- 2811 E 15TH St Ste 102
Tulsa, OK 74104-5242 - Phone
- (918) 935-3240
- Fax
- (918) 935-3241
- NPI assigned
- Feb 13, 2024
- Last updated
- Feb 13, 2024
- Organization subpart
- Yes
- Parent organization
- SEVA HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amit Mirchandani, MD
- Title
- Authorized Official
- Phone
- (901) 289-4227
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Mailing address
PO Box 293854
Lewisville, TX 75029-3854
Other practice location 1
6048A S Sheridan Rd
Tulsa, OK 74145
Phone (918) 935-3240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240528001742 | OK | Part B Supplier - Clinic/Group Practice | 5991146441 |
Receives reassigned benefits from 3 practitioners Practice locations: Tulsa, OK |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Seva Healthcare
- Part of
- Seva Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Lewisville, TX
- NPI 1548980691
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
- NPI 1003256819
-
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
- NPI 1215028204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1275397812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293854",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750293854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 E 15TH ST STE 102",
"city": "TULSA",
"state": "OK",
"postal_code": "741045242",
"telephone_number": "918-935-3240",
"fax_number": "918-935-3241"
}
],
"practiceLocations": [
{
"address_1": "6048A S Sheridan Rd",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74145",
"country_code": "US",
"telephone_number": "918-935-3240",
"fax_number": "918-935-3241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SEVA HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SEVA HEALTHCARE",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "MIRCHANDANI",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "901-289-4227",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"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 13, 2024; 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.