Paul Robert Callegari, M.D.

Individual provider Active NPI Plastic Surgery Physician · Tulsa, OK

NPI 1295746253 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295746253
Entity type
Individual (NPI type 1)
Primary specialty
Plastic Surgery Physician 208200000X
License
19993 (OK)
Practice address
6585 S Yale Ave
Suite 1050
Tulsa, OK 74136-8384
Phone
(918) 494-8200
Fax
(918) 494-8204
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Plastic and Reconstructive Surgery
Also: Hand Surgery
Education
University of Toronto, Faculty of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6585 S Yale Ave
Suite 1050
Tulsa, OK 74136-8330
Phone (918) 494-8200

Hospital & facility affiliations

  • Saint Francis Hospital South, LLC Hospital · Tulsa, OK · CCN 370218
  • Saint Francis Hospital, Inc Hospital · Tulsa, OK · CCN 370091
  • Ascension St John Medical Center Hospital · Tulsa, OK · CCN 370114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120327000811 OK Practitioner - Plastic and Reconstructive Surgery
Practitioner - Hand Surgery
1153581350 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19993OKMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul R Callegari MD PC Plastic Surgery Current
since Feb 16, 2012
Accepting new patients

Locations

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

6585 S Yale Ave
Ste 1050
Tulsa, OK 74136
Phone (918) 494-8200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 19993 OK Yes

Addresses

Primary practice location

6585 S Yale Ave
Suite 1050
Tulsa, OK 74136-8384

Mailing address

6585 S Yale Ave
Suite 1050
Tulsa, OK 74136-8384
Phone (918) 494-8200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295746253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 1050",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-494-8200",
            "fax_number": "918-494-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 1050",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-494-8200",
            "fax_number": "918-494-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEGARI",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "19993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

All providers in Tulsa, OK · Plastic Surgery Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.