Active NPI
Satwant Tandon, MD
- Psychiatry Physician
- Vinita, OK
National Provider Identifier
1457414617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19207
- Practice address
- 24800 S 4420 Road
Vinita, OK 74301 - Phone
- (918) 256-7841
- Fax
- (918) 256-2952
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2003025350 | MO | |
| Psychiatry Physician | 2084P0800X | 19207 | OK | Primary |
Addresses
Primary practice location
24800 S 4420 Road
Vinita, OK 74301
Mailing address
PO Box 69
Vinita, OK 74301-0069
Phone (918) 256-7841
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100693700B | Medicaid | OK | |
| 207399809 | Medicaid | MO | |
| 200258550A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4103 S Yale Ave
Suite B
Tulsa, OK 74135-6002
Phone (918) 382-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003025350 | MO | MD | Psychiatry Physician |
| 19207 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services | Current | Accepting new patients | |
| Creoks Mental Health Services | Current | Accepting new patients | |
| Creoks Mental Health Services | Current | Accepting new patients | |
| Oklahoma Forensic Center | Past | Accepting new patients |
Locations
23 E Ross Ave
Sapulpa, OK 74066
Phone (918) 216-4999
4636 S Harvard Ave
Tulsa, OK 74135
Phone (918) 216-4622
4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1841311289
-
- Community/Behavioral Health Agency
- Stilwell, OK
- NPI 1225333826
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1710583372
-
- Psychiatric Hospital
- Vinita, OK
- NPI 1437364080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1457414617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "VINITA",
"state": "OK",
"postal_code": "743010069",
"telephone_number": "918-256-7841",
"fax_number": "918-256-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 S 4420 ROAD",
"city": "VINITA",
"state": "OK",
"postal_code": "74301",
"telephone_number": "918-256-7841",
"fax_number": "918-256-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANDON",
"first_name": "SATWANT",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2003025350",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "19207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100693700B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207399809",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200258550A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.