Individual provider Active NPI

Mark Charles Nahmias, DPM

  • Podiatrist
  • Tulsa, OK
National Provider Identifier
1285716142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
166 Issued in OK
Practice address
5906 E 31St St
Suite 1
Tulsa, OK 74135-5110
Phone
(918) 749-9996
Fax
(918) 622-9998
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 166 OK Primary

Addresses

Primary practice location

5906 E 31St St
Suite 1
Tulsa, OK 74135-5110

Mailing address

5906 E 31St St
Suite 1
Tulsa, OK 74135-5110
Phone (918) 749-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040209000597 OK Practitioner - Podiatry 6305730763
I20240410000726 HI Practitioner - Podiatry 6305730763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kauai Veterans Memorial HospitalGroup PAC ID 7911805114, 19 clinicians

Practice addresses (Care Compare)

4643 Waimea Canyon Dr
Waimea, HI 96798
Phone (808) 338-9431

4800 Kawaihau Rd
Kapaa, HI 96746-1971
Phone (808) 822-4961

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Mahelona Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Samuel Mahelona Memorial Hospital Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285716142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 E 31ST ST",
            "address_2": "SUITE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355110",
            "telephone_number": "918-749-9996",
            "fax_number": "918-622-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 E 31ST ST",
            "address_2": "SUITE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355110",
            "telephone_number": "918-749-9996",
            "fax_number": "918-622-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHMIAS",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.