Ayesha Anwaar
Individual provider Active NPI Nephrology Physician · Tulsa, OK
NPI 1487007449 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1487007449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 40650 (OK)
- Practice address
- 6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807 - Phone
- (918) 712-5000
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tni-Kso PC
Practice addresses (Care Compare)
6465 S Yale Ave
Suite 507
Tulsa, OK 74136-7807
Phone 9187125000152
Hospital & facility affiliations
- DaVita Wagoner Dialysis
- DaVita Pryor Dialysis
- St Francis Hospital-Dialysis
- DaVita Central Tulsa Dialysis Center
- Saint Francis Hospital, Inc
- Hillcrest Hospital South
- Hillcrest Medical Center
- Hillcrest Hospital Pryor
- Ascension St John Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230809004168 | OK | Practitioner - Nephrology | 8224490180 | Reassigns benefits to 2 organizations |
| I20260323000097 | TX | Practitioner - Nephrology | 8224490180 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tni-Kso PC | Nephrology | Current |
Accepting new patients |
| Renal Treatment Centers West Inc | Past |
Accepting new patients |
Locations
6465 S Yale Ave
Ste 507
Tulsa, OK 74136
Phone (918) 481-2760
1145 S Utica Ave
Ste 364
Tulsa, OK 74104
Phone (918) 496-5195
Interoperability endpoints
- ayesha.anwaar@direct.davitaphysiciansolutions.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 40650 | OK | Yes |
Addresses
Primary practice location
6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Mailing address
6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Phone (918) 712-5000
Other providers in Tulsa, OK
- Shamika Jeanette Antwine Boone
- Christopher Bradley Antwine
- Deandra Lynette Antwine
- Jasmine Antwine
- Dixitha Anugula
- Farahnaz Mortoza Anwar
- Onelia Sofia Anzola
- Apex Endodontics, PLLC
- Apex Wound Management LLC
- Apnea Breathing Clinic of Tulsa, PLLC
All providers in Tulsa, OK · Nephrology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.