NPIMap

Individual provider Active NPI

David Charles Remy, MD

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1508131509
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36075 Issued in OK
Practice address
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Phone
(918) 744-2630
NPI assigned
Mar 9, 2012
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X OK
Emergency Medicine Physician 207P00000X 36075 OK Primary
General Practice Physician 208D00000X A167477 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH66763 CA

Addresses

Primary practice location

1717 S Utica Ave Ste a
Tulsa, OK 74104-5346

Mailing address

4502 E 41St St
Tulsa, OK 74135-2536
Phone (918) 579-2367

Other practice location 1

4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 579-2367

Other practice location 2

6221 Wilshire blvd ste 509
los angeles, CA 90048-5712
Phone (323) 653-6431

Other practice location 3

6399 wilshire blvd #910
los angeles, CA 90048
Phone (323) 653-6431

Other names 1

  • David Charles Remesnitsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200326001889 CA Practitioner - General Practice 3274562624 Reassigns benefits to 3 organizations
I20220927002820 OK Practitioner - Emergency Medicine 3274562624 Reassigns benefits to 3 organizations
I20220928003486 TX Practitioner - Emergency Medicine 3274562624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glendale Adventist Emergency Physicians IncorporatedGroup PAC ID 1254563869, 26 clinicians
La Jolla Medical Group IncGroup PAC ID 5698090348, 2 clinicians

Practice addresses (Care Compare)

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 863-4000

6221 Wilshire Blvd
Suite 509
Los Angeles, CA 90048-5223
Phone (323) 653-6431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
83.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue834
Removal of skin lesions41
Removal of nail tissue49
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167477CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc Multi-Specialty CurrentSince Aug 6, 2023 Accepting new patients
St. John Physicians, Inc. Multi-Specialty Current Accepting new patients
Creek Nation Hospital & Clinics Multi-Specialty Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics Multi-Specialty CurrentSince Sep 14, 2022 Accepting new patients
Nes Oklahoma, Inc. Multi-Specialty CurrentSince Jul 3, 2023 Accepting new patients
East la Emergency Physicians, Inc. Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
La Jolla Medical Group Inc Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 1, 2022 Accepting new patients
St. John Broken Arrow, Inc Past Accepting new patients

Locations

4060 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 224-2040

6221 Wilshire Blvd
Ste 509
Los Angeles, CA 90048
Phone (323) 653-6431

6399 Wilshire Blvd
Ste 910
Los Angeles, CA 90048
Phone (323) 653-6431

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

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

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

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1508131509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352536",
            "telephone_number": "918-579-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S UTICA AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045346",
            "telephone_number": "918-744-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352536",
            "country_code": "US",
            "telephone_number": "918-579-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6221 Wilshire blvd ste 509",
            "address_purpose": "LOCATION",
            "city": "los angeles",
            "state": "CA",
            "postal_code": "900485712",
            "country_code": "US",
            "telephone_number": "323-653-6431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6399 wilshire blvd #910",
            "address_purpose": "LOCATION",
            "city": "los angeles",
            "state": "CA",
            "postal_code": "90048",
            "country_code": "US",
            "telephone_number": "323-653-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMY",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-09",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "36075",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A167477",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH66763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "REMESNITSKY",
            "middle_name": "CHARLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.