Active NPI
Saed Fathi Awadallah, M.D.
- Pulmonary Disease Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 31863
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Internal Medicine | Current | Accepting new patients |
| Northeastern Health System | Current | Accepting new patients | |
| Regional West Physicians Clinic | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Box Butte General Hospital | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current | Accepting new patients | |
| Morrill County Community Hospital | Internal Medicine | Current | Accepting new patients |
| Morrill County Community Hospital | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Morrill County Community Hospital | Current | Accepting new patients | |
| Box Butte General Hospital | Current | 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 | Current | Accepting new patients | |
| Tulsa Pulmonary and Allergy Consultants Inc | Pulmonary Disease | Past | 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
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
- saed.awadallah@marshfieldclinichealthsystem.cernerdirect.com
- 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.
-
- Emergency Medicine Physician
- Tahlequah, OK
- NPI 1457574170
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
Internal Medicine
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
-
dba Greater Nebraska Medical & Surgical Services - Alliance
- Clinic/Center
- Alliance, NE
- NPI 1871652453
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Internal Medicine
-
- Critical Access Hospital
- Bridgeport, NE
- NPI 1609816149
-
dba Chimney Rock Medical Center
- Family Medicine Physician
- Bayard, NE
- NPI 1689891087
Internal Medicine
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
dba Tahlequah Medical Group Primary Care
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
dba Fort Gibson Medical Clinic
- Rural Health Clinic/Center
- Fort Gibson, OK
- NPI 1013458652
Hospital
-
dba Tahlequah Medical Group Primary Care
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
Hospital
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
-
dba Sidney Regional Medical Center
- Critical Access Hospital
- Sidney, NE
- NPI 1487736963
-
- Critical Access Hospital
- Bridgeport, NE
- NPI 1609816149
-
- General Acute Care Hospital
- Scottsbluff, NE
- NPI 1639101199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.