NPIMap

Individual provider Active NPI

Ahmad Gaben, M.D.

  • Hospitalist Physician
  • Tulsa, OK
National Provider Identifier
1417155144
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
27820 Issued in OK
Practice address
1145 S Utica Ave
Suite # 1105
Tulsa, OK 74104-4000
Phone
(918) 579-5749
Fax
(918) 560-5791
NPI assigned
Jul 3, 2007
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 27820 OK Primary

Addresses

Primary practice location

1145 S Utica Ave
Suite # 1105
Tulsa, OK 74104-4000

Mailing address

1145 S Utica Ave
Ste 460
Tulsa, OK 74104-4041
Phone (918) 579-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000453 OK Practitioner - Internal MedicinePractitioner - Hospitalist 5294859807 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians
Prime Medical Group CorpGroup PAC ID 9032597257, 12 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131

2621 E 38TH St
Tulsa, OK 74105-8206
Phone (708) 724-8599

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group Corp Hospitalist CurrentSince May 31, 2022 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC CurrentSince Feb 1, 2022 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Oct 5, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince May 1, 2022 Accepting new patients
Thi Specialists LLC Hospitalist CurrentSince Aug 12, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Hospitalist CurrentSince May 1, 2022 Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

10020 E 91st St
Tulsa, OK 74133
Phone (918) 720-7046

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

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

2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856

3219 S 79th East Ave
Tulsa, OK 74145
Phone (833) 524-2400

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

744 W 9th St
Fl 5
Tulsa, OK 74127
Phone (918) 932-3700

Organizations & group practices 7

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

Hospital & facility affiliations 9

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1417155144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044041",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "SUITE # 1105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-579-5749",
            "fax_number": "918-560-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABEN",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "27820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.