Active NPI
Jose Ivan Vela-Hernandez, D.O.
- Anesthesiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4375
- Practice address
- HHS Centralized Verification/Medical Staff Services
1120 S Utica Ave
Tulsa, OK 74104 - Phone
- (918) 579-2528
- NPI assigned
- Feb 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E-4412 | AR | |
| Anesthesiology Physician | 207L00000X | 4375 | OK | Primary |
Addresses
Primary practice location
HHS Centralized Verification/Medical Staff Services
1120 S Utica Ave
Tulsa, OK 74104
Mailing address
10501 Castleton St
Fort Smith, AR 72908-9394
Phone (918) 344-6952
Other practice location 1
8801 South 101st East Avenue
SouthCrest Anesthesia Group
Tulsa, OK 74133
Phone (918) 294-4915
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900522349 | Other | OK | MEDICARE GROUP PIN |
| 200075040A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000
3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4375 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Oklahoma, PLLC | Anesthesiology | Current | Accepting new patients |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| River Valley Anesthesia Associates, P. a. | Anesthesiology | Past | Accepting new patients |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Southcrest Anesthesia Group LLC | Anesthesiology | Past | Accepting new patients |
Locations
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205880754
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1417967472
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1528107406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 CASTLETON ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729089394",
"telephone_number": "918-344-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HHS CENTRALIZED VERIFICATION/MEDICAL STAFF SERVICES",
"address_2": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-579-2528"
}
],
"practiceLocations": [
{
"address_1": "8801 South 101st East Avenue",
"address_2": "SouthCrest Anesthesia Group",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74133",
"country_code": "US",
"telephone_number": "918-294-4915",
"fax_number": "918-294-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELA-HERNANDEZ",
"first_name": "JOSE",
"middle_name": "IVAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-4412",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "4375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "900522349",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200075040A",
"state": "OK"
}
],
"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 May 5, 2020; 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.