Individual provider Active NPI

Brandon Kitchens, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
National Provider Identifier
1538797428
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
399 Issued in OK
Practice address
4812 S 109TH East Ave
Tulsa, OK 74146-5826
Phone
(918) 236-4500
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000978 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 399 OK Primary

Addresses

Primary practice location

4812 S 109TH East Ave
Tulsa, OK 74146-5826

Mailing address

4812 S 109TH East Ave
Tulsa, OK 74146-5826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531003157 OK Practitioner - Podiatry 0547625436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Bone and Joint Associates PCGroup PAC ID 9335033802, 91 clinicians

Practice addresses (Care Compare)

4812 S 109TH E Ave
Tulsa, OK 74146-5826
Phone (918) 392-1513

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
61.03
Promoting interoperability
99
Improvement activities
40
Cost
77.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue54
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
399OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Bone & Joint Associates PC CurrentSince Jul 22, 2024 Accepting new patients
Osu Health System Anesthesia Past Accepting new patients

Locations

4812 S 109th East Ave
Ste 200
Tulsa, OK 74146
Phone (918) 236-4567

4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

4812 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1482

10507 E 91st St
Ste 450
Tulsa, OK 74133
Phone (918) 307-3170

Interoperability endpoints

  • Direct secure messaging: bkitchens319625@direct.saintfrancis.com
  • Direct secure messaging: brandon.kitchens.p1@direct.beaconortho.nextgenshare.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601

Organizations & group practices 2

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 3

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1538797428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465826",
            "telephone_number": "918-236-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "BRANDON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2024-04-17",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000978",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.