Individual provider Active NPI

Sheela Vardey, M.D.

  • Pediatrics Physician
  • Bixby, OK
National Provider Identifier
1407048978
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27944 Issued in OK
Practice address
12620 S Memorial Dr
Bixby, OK 74008-2676
Phone
(918) 574-0150
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27944 OK Primary

Addresses

Primary practice location

12620 S Memorial Dr
Bixby, OK 74008-2676

Mailing address

12620 S Memorial Dr
Bixby, OK 74008-2676
Phone (918) 493-2229

Other identifiers 2

IdentifierTypeStateIssuer
1007471MedicaidLA
200305830AMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101227000548 OK Practitioner - Pediatric Medicine 0345438966 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Pediatrics CurrentSince Sep 1, 2011 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2011 Accepting new patients
Claremore Physicians LLC Past Accepting new patients

Locations

12620 S Memorial Dr
Bixby, OK 74008
Phone (918) 574-0150

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

7600 S Lewis Ave
Tulsa, OK 74136
Phone (918) 493-2229

Dept 1206
Tulsa, OK 74182

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Interoperability endpoints

  • Direct secure messaging: svardey106960@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1407048978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082676",
            "telephone_number": "918-493-2229",
            "fax_number": "918-493-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082676",
            "telephone_number": "918-574-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDEY",
        "first_name": "SHEELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "27944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007471",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

Verify at the official NPI Registry.