Individual provider Active NPI

Megan Blaire Kassem

  • Medical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1427536846
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2881 Issued in OK
Practice address
9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone
(918) 574-0250
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2881 OK Primary

Addresses

Primary practice location

9245 S Mingo Rd
Tulsa, OK 74133-5793

Mailing address

231 E 21St St
Tulsa, OK 74114-1201
Phone (918) 277-9105

Other names 1

  • Megan Blaire Hughes Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926003856 OK Practitioner - Physician Assistant 7618228867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

800 W Boise Cir
Suite 160
Broken Arrow, OK 74012-4932
Phone (918) 994-9160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2881OKMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: megan.kassempac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: mkassem177183@ahs.direct-ci.com

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.

Hospital & facility affiliations 3

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1427536846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141201",
            "telephone_number": "918-277-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-574-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEM",
        "first_name": "MEGAN",
        "middle_name": "BLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HUGHES",
            "middle_name": "BLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.