Individual provider Active NPI

Jamal Hyder, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1467413146
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18091 Issued in OK
Practice address
1725 E 19TH St
501
Tulsa, OK 74104-5437
Phone
(918) 749-6990
Fax
(918) 742-5334
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18091 OK Primary

Addresses

Primary practice location

1725 E 19TH St
501
Tulsa, OK 74104-5437

Mailing address

1725 E 19TH St
501
Tulsa, OK 74104-5437
Phone (918) 749-6990

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
I20050608000213 OK Practitioner - Internal Medicine 7618910837 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18091OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2005 Accepting new patients
St. John Physicians, Inc CurrentSince Apr 1, 2005 Accepting new patients

Locations

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1725 E 19th St
Ste 501
Tulsa, OK 74104
Phone (918) 745-6990

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1467413146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST",
            "address_2": "501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045437",
            "telephone_number": "918-749-6990",
            "fax_number": "918-742-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST",
            "address_2": "501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045437",
            "telephone_number": "918-749-6990",
            "fax_number": "918-742-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDER",
        "first_name": "JAMAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.