Active NPI
Brian W Macha, MD
- Anesthesiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24573
- Practice address
- 9840 E 81St St Ste 200
Tulsa, OK 74133-4584 - Phone
- (918) 872-8447
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24573 | OK | Primary |
Addresses
Primary practice location
9840 E 81St St Ste 200
Tulsa, OK 74133-4584
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200243270A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4808 S 109TH E Ave
Tulsa, OK 74146-5822
Phone (918) 742-2502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24573 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current | Accepting new patients | |
| Anesthesia Associates of Tulsa, PLLC | Anesthesiology | Current | Accepting new patients |
| Northeastern Health System | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
9840 E 81st St
Ste 200
Tulsa, OK 74133
Phone (918) 872-8447
8131 S Memorial Dr
Ste 107
Tulsa, OK 74133
Phone (918) 252-5114
4800 S 109th East Ave
Tulsa, OK 74146
Phone (918) 742-2502
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1275755654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9840 E 81ST ST STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741334584",
"telephone_number": "918-872-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHA",
"first_name": "BRIAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "24573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200243270A",
"state": "OK"
}
],
"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 Dec 8, 2015; 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.