NPIMap

Individual provider Active NPI

Peter Azuka Okwuasaba, MD

  • Infectious Disease Physician
  • Tulsa, OK
National Provider Identifier
1497803209
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25303 Issued in OK
Practice address
8803 S 101St East Ave
Suite 350
Tulsa, OK 74133-5726
Phone
(918) 615-3750
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25303 OK Primary

Addresses

Primary practice location

8803 S 101St East Ave
Suite 350
Tulsa, OK 74133-5726

Mailing address

8803 S 101St East Ave
Suite 350
Tulsa, OK 74133-5726
Phone (918) 615-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000328 OK Practitioner - Infectious DiseasePractitioner - Internal Medicine 7810098720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8803 S 101St E Ave
Suite 350
Tulsa, OK 74133-5772
Phone (918) 615-3750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000659NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Infectious Disease Center PC Infectious Disease CurrentSince Apr 16, 2007 Accepting new patients
St. Vincent's Midtown Hospital Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Bakersfield Family Medical Group Inc Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

8803 S 101st East Ave
Ste 350
Tulsa, OK 74133
Phone (918) 252-2800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pokwuasaba112966@ahs.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1497803209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "SUITE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-615-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "SUITE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-615-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUASABA",
        "first_name": "PETER",
        "middle_name": "AZUKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "25303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.