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
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive 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
- Saint Francis Hospital, Inc
- Ascension St John Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120327000811 | OK | Practitioner - Plastic and Reconstructive Surgery |
1153581350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19993 | OK | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul R Callegari MD PC | Plastic Surgery | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Kylie Quinn Callahan
- Leah V Callahan
- Patricia Ann Callahan
- Jenniffer Callaway
- Called to Care Agency, LLC
- Earl Michael Callery
- Julia Elise Callery
- Mark David Callery
- Kaylee Calles
- Amy Leanne Callison
All providers in Tulsa, OK · Plastic Surgery Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.