Individual provider Active NPI

Saed Fathi Awadallah, M.D.

  • Pulmonary Disease Physician
  • Tulsa, OK
National Provider Identifier
1487092128
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31863 Issued in NE
Practice address
1725 E 19TH St Ste 200
Tulsa, OK 74104-5419
Phone
(918) 748-8381
Fax
(918) 403-6328
NPI assigned
Jun 4, 2013
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 31863 NE Primary

Addresses

Primary practice location

1725 E 19TH St Ste 200
Tulsa, OK 74104-5419

Mailing address

1725 E 19TH St Ste 500
Tulsa, OK 74104-5422
Phone (918) 403-7056

Other practice location 1

2202 Trotters Ridge Ct
Greenville, NC 27858-9403
Phone (252) 452-3263

Other practice location 2

3911 Avenue B Ste 1100
Scottsbluff, NE 69361-4617
Phone (308) 630-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NE, WI, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170711000246 NC Practitioner - Internal Medicine 1456641695
I20190821002439 NE Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1456641695 Reassigns benefits to 5 organizations
I20210125001354 WI Practitioner - Critical Care (Intensivists) 1456641695 Reassigns benefits to 2 organizations
I20211006002789 OK Practitioner - Internal Medicine 1456641695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

3911 Ave B
Scottsbluff, NE 69361-4617
Phone (308) 630-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince May 12, 2025 Accepting new patients
St. John Physicians, Inc CurrentSince Oct 12, 2021 Accepting new patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
Northeastern Health System CurrentSince May 12, 2025 Accepting new patients
Regional West Physicians Clinic Internal Medicine CurrentSince Aug 26, 2019 Accepting new patients
St. John Physicians, Inc. Internal Medicine CurrentSince Nov 28, 2021 Accepting new patients
Box Butte General Hospital CurrentSince Aug 1, 2025 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Jan 18, 2021 Accepting new patients
Morrill County Community Hospital Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Morrill County Community Hospital CurrentSince Oct 1, 2023 Accepting new patients
Northeastern Health System Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 18, 2021 Accepting new patients
Morrill County Community Hospital Current Accepting new patients
Box Butte General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Morrill County Community Hospital Internal Medicine Current Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 18, 2021 Accepting new patients
Tulsa Pulmonary and Allergy Consultants Inc Pulmonary Disease PastSince Nov 28, 2021 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

1313 S St
#A
Bridgeport, NE 69336
Phone (308) 262-1755

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

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

1725 E 19th St
Ste 200
Tulsa, OK 74104
Phone (918) 748-8381

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
  • Direct secure messaging: saed.awadallah@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: saedawadallah@mcch.medalliesdirect.net

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 8

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1487092128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045422",
            "telephone_number": "918-403-7056",
            "fax_number": "918-744-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045419",
            "telephone_number": "918-748-8381",
            "fax_number": "918-403-6328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 Trotters Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278589403",
            "country_code": "US",
            "telephone_number": "252-452-3263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3911 Avenue B Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614617",
            "country_code": "US",
            "telephone_number": "308-630-2100",
            "fax_number": "308-630-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWADALLAH",
        "first_name": "SAED",
        "middle_name": "FATHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NE",
            "license": "31863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.