Individual provider Active NPI

Kenneth Daniel Ostmo, DO

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1578026647
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7023 Issued in OK
Practice address
6465 S Yale Ave Ste 704
Tulsa, OK 74136-7822
Phone
(918) 502-4250
Fax
(918) 502-4255
NPI assigned
Apr 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7023 OK Primary

Addresses

Primary practice location

6465 S Yale Ave Ste 704
Tulsa, OK 74136-7822

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

6600 S Yale Ave Ste 600
Tulsa, OK 74136-3363
Phone (918) 491-5990

Other practice location 2

6800 S Granite Ave
Tulsa, OK 74136-7039
Phone (918) 491-5218

Other identifiers 2

IdentifierTypeStateIssuer
201081560BMedicaidOK
201081560AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613002365 OK Practitioner - Internal Medicine 2769861251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

Hospital & facility affiliations

  • Truheart Home Health Home health agency, Tulsa, OK, CCN 377615
  • Vitalcaring Group Home health agency, Tulsa, OK, CCN 377787
  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Enhabit Home Health of Northeast Oklahoma Home health agency, Broken Arrow, OK, CCN 377572
  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Montereau, Inc. Nursing home, Tulsa, OK, CCN 375460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jan 23, 2023 Accepting new patients

Locations

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6465 S Yale Ave
Ste 704
Tulsa, OK 74136
Phone (918) 502-4250

6600 S Yale Ave
Ste 600
Tulsa, OK 74136
Phone (918) 491-5990

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

Interoperability endpoints

  • Direct secure messaging: kostmo104539@direct.saintfrancis.com

Organizations & group practices 1

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 11

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": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1578026647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 704",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367822",
            "telephone_number": "918-502-4250",
            "fax_number": "918-502-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 S Yale Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741363363",
            "country_code": "US",
            "telephone_number": "918-491-5990",
            "fax_number": "918-488-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 S Granite Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367039",
            "country_code": "US",
            "telephone_number": "918-491-5218",
            "fax_number": "918-494-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTMO",
        "first_name": "KENNETH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "7023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201081560B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201081560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.