Active NPI
Gajalakshmi Kumar, MD
- Trauma Surgery Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 30604
- Practice address
- 1919 S Wheeling Ave
Ste 606
Tulsa, OK 74104-5638 - Phone
- (918) 301-2505
- Fax
- (918) 744-3633
- NPI assigned
- Feb 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30604 | OK | |
| Trauma Surgery Physician | 2086S0127X | 30604 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave
Ste 606
Tulsa, OK 74104-5638
Mailing address
1919 S Wheeling Ave
Ste 606
Tulsa, OK 74104-5638
Phone (918) 301-2505
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 S Wheeling Ave
Suite 606
Tulsa, OK 74104-5635
Phone (918) 748-7676
Hospital & facility affiliations
- Ascension St John Medical Center
- Ascension St John Jane Phillips
- Ascension St John Sapulpa
- Labette Health
- St John Owasso
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients |
Locations
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
1919 S Wheeling Ave
Ste 600
Tulsa, OK 74104
Phone (918) 634-7500
1919 S Wheeling Ave
Ste 606
Tulsa, OK 74104
Phone (918) 748-7676
Interoperability endpoints
- gajal.kumar@direct.stjohnhealthsystem.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
- Critical Access Hospital
- Sapulpa, OK
- NPI 1922076603
-
- General Acute Care Hospital
- Parsons, KS
- NPI 1578560421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1578836201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE",
"address_2": "STE 606",
"city": "TULSA",
"state": "OK",
"postal_code": "741045638",
"telephone_number": "918-301-2505",
"fax_number": "918-744-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE",
"address_2": "STE 606",
"city": "TULSA",
"state": "OK",
"postal_code": "741045638",
"telephone_number": "918-301-2505",
"fax_number": "918-744-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "GAJALAKSHMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "30604",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OK",
"license": "30604",
"primary": true
}
],
"identifiers": [],
"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 Sep 10, 2024; 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.