Diana Tamboli, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

32188 Issued in OK

Practice address

9821 S May Ave # C
Oklahoma City, OK 73159-7042

Phone

(405) 708-7876

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

West Virginia School of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225

Merit-based Incentive Payment System (MIPS)

Final score

96.72 of 100Reported as individual

Quality

95.67

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dtamboli@drtamboli.emadirect.md

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.

• Diana Tamboli MD LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Oklahoma City, OK
  • NPI 1164057543
  Medicare reassignment NPD Authorized official
• Oculoplastic Surgeons of Oklahoma, PLLC

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1790990059
  Medicare reassignment NPD
• Retina Consultants of Oklahoma PLLC

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1215245014
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  Care Compare affiliation

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346534146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167120",
            "telephone_number": "405-708-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 S MAY AVE # C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597042",
            "telephone_number": "405-708-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7316 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731167120",
            "country_code": "US",
            "telephone_number": "405-708-7876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBOLI",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q3979",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125061038",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "32188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200653870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakia Denise Talley, LPN
• Brian Tyler Tallman, DO
• Terad Talmesany, M.D.
• Dawn R Talton, CPRP
• Karan Tamakuwala
• Tami R Ross, PC (Leadership Square EyeCare)
• Tammy Wagstaff, DNP, Aprn-CNP, PLLC
• Amy Tan
• Jeremy F Tan, M.D.
• Sally Que Poa Tan, M.D.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.

Verify at the official NPI Registry.