Active NPI
Panayiotis Diomedes Tsitouras, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Oklahoma City, OK
National Provider Identifier
1568754448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- E-1778
- Practice address
- 1122 NE 13TH St
Orb 150
Oklahoma City, OK 73117-1039 - Phone
- (405) 271-3050
- Fax
- (405) 271-8502
- NPI assigned
- May 10, 2011
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | E-1778 | AR | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | E-1778 | AR | Primary |
Addresses
Primary practice location
1122 NE 13TH St
Orb 150
Oklahoma City, OK 73117-1039
Mailing address
1122 NE 13TH St
Orb 1200
Oklahoma City, OK 73117-1039
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1778 | AR | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients |
Locations
1122 NE 13th St
#150
Oklahoma City, OK 73117
Phone (405) 271-3050
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1568754448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 NE 13TH ST",
"address_2": "ORB 1200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 NE 13TH ST",
"address_2": "ORB 150",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171039",
"telephone_number": "405-271-3050",
"fax_number": "405-271-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSITOURAS",
"first_name": "PANAYIOTIS",
"middle_name": "DIOMEDES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AR",
"license": "E-1778",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "AR",
"license": "E-1778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.