Individual provider Active NPI

Satwant Tandon, MD

  • Psychiatry Physician
  • Vinita, OK
National Provider Identifier
1457414617
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19207 Issued in OK
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

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100693700BMedicaidOK
207399809MedicaidMO
200258550AMedicaidKS

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
I20090305000113 OK Practitioner - Psychiatry 6406824325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

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

LicenseStateTypeSpecialty
2003025350MOMDPsychiatry Physician
19207OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services Current Accepting new patients
Creoks Mental Health Services CurrentSince Feb 1, 2017 Accepting new patients
Creoks Mental Health Services CurrentSince Feb 1, 2017 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.

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

Verify at the official NPI Registry.