Individual provider Active NPI

Mohammad Yashar S Kalani, MD

  • Neurological Surgery Physician
  • Tulsa, OK
National Provider Identifier
1285861153
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35434 Issued in OK
Practice address
2000 S Wheeling Ave Ste 200
Tulsa, OK 74104-5656
Phone
(918) 748-7854
Fax
(918) 403-6335
NPI assigned
Jun 17, 2009
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R71385 AZ
Neurological Surgery Physician 207T00000X 9717710-1205 UT
Neurological Surgery Physician 207T00000X 0101262853 VA
Neurological Surgery Physician 207T00000X 35434 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 200
Tulsa, OK 74104-5656

Mailing address

2000 S Wheeling Ave Ste 200
Tulsa, OK 74104-5656
Phone (918) 748-7854

Other practice location 1

6585 S Yale Ave Ste 710
Tulsa, OK 74136-8352
Phone (918) 502-4900

Other practice location 2

6465 S Yale Ave Ste 202
Tulsa, OK 74136-7804
Phone (918) 499-4000

Other identifiers 2

IdentifierTypeStateIssuer
9717710-1205OtherUTUTAH STATE MEDICAL BOARD
R71385OtherAZTRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, VA, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160518001187 UT Practitioner - Neurosurgery 1052600863 Reassigns benefits to 2 organizations
I20171013000009 VA Practitioner - Neurosurgery 1052600863 Reassigns benefits to 1 organization
I20200129000968 OK Practitioner - Neurosurgery 1052600863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Stanford University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion52
Laminectomy or laminotomy (partial removal of spine bones)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71385AZMDNeurological Surgery Physician
35434OKMDNeurological Surgery Physician
9717710-1205UTMDNeurological Surgery Physician
0101262853VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 1, 2017 Accepting new patients
St. John Physicians, Inc CurrentSince Feb 6, 2020 Accepting new patients
University of Utah Surgical Services Neurological Surgery CurrentSince May 1, 2016 Accepting new patients
Warren Clinic Inc CurrentSince Dec 1, 2022 Accepting new patients
University of Utah Surgical Services Current Accepting new patients
University of Utah Surgical Services Neurological Surgery CurrentSince May 1, 2016 Accepting new patients
University of Utah Acuity Care Services Neurological Surgery CurrentSince May 1, 2016 Accepting new patients
St. John Physicians, Inc. Neurological Surgery CurrentSince Feb 6, 2020 Accepting new patients
University of Utah Acuity Care Services CurrentSince May 1, 2016 Accepting new patients
University of Utah Acuity Care Services Current Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104
Phone (918) 748-7854

6465 S Yale Ave
Ste 202
Tulsa, OK 74136
Phone (918) 502-2100

6585 S Yale Ave
Ste 710
Tulsa, OK 74136
Phone (918) 502-4900

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

175 N Medical Dr
#U
Salt Lake City, UT 84112
Phone (801) 585-7575

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

1 Hospital Dr
Fl 3
Charlottesville, VA 22908
Phone (434) 243-4816

1300 Jefferson Park Ave
Fl 3
Charlottesville, VA 22903

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Organizations & group practices 11

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 7

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1285861153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045656",
            "telephone_number": "918-748-7854",
            "fax_number": "918-403-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045656",
            "telephone_number": "918-748-7854",
            "fax_number": "918-403-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6585 S Yale Ave Ste 710",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741368352",
            "country_code": "US",
            "telephone_number": "918-502-4900",
            "fax_number": "918-502-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6465 S Yale Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367804",
            "country_code": "US",
            "telephone_number": "918-499-4000",
            "fax_number": "918-499-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALANI",
        "first_name": "MOHAMMAD YASHAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "R71385",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "9717710-1205",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101262853",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "35434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE MEDICAL BOARD",
            "identifier": "9717710-1205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R71385",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.