Individual provider Active NPI

Smaranda A Galis, MD

  • Neurology Physician
  • Tulsa, OK
National Provider Identifier
1386611473
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
22154 Issued in OK
Practice address
6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234
Phone
(918) 888-5211
Fax
(918) 888-5270
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 22154 OK Primary

Addresses

Primary practice location

6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234

Mailing address

6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234
Phone (918) 888-5211

Other practice location 1

19600 E Ross St
Tahlequah, OK 74464-0545
Phone (539) 234-2250

Other identifiers 1

IdentifierTypeStateIssuer
200008840BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230630000166 TX Practitioner - Neurology 8820012875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22154OKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince May 20, 2023 Accepting new patients
Regional Brain Institute PLLC Neurology CurrentSince Mar 31, 2024 Accepting new patients
Cherokee Nation CurrentSince May 20, 2023 Accepting new patients
Osage Nation Si-Si a-Pe-Txa CurrentSince May 11, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Southeastern Neurology, PC CurrentSince Jul 1, 2006 Accepting new patients
McAlester Physician Management Services Past Accepting new patients
Cherokee Nation Past Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

2 E Clark Bass Blvd
Ste 305
McAlester, OK 74501
Phone (918) 421-6630

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

715 Grandview Ave
Pawhuska, OK 74056
Phone (918) 287-4491

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

Dept 2269
Tulsa, OK 74182

6120 S Yale Ave
Ste 1210
Tulsa, OK 74136
Phone (918) 885-2118

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1386611473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S YALE AVE STE 1210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364234",
            "telephone_number": "918-888-5211",
            "fax_number": "918-888-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 S YALE AVE STE 1210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364234",
            "telephone_number": "918-888-5211",
            "fax_number": "918-888-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19600 E Ross St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744640545",
            "country_code": "US",
            "telephone_number": "539-234-2250",
            "fax_number": "539-234-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALIS",
        "first_name": "SMARANDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "22154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008840B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.