Active NPI
Lata Koirala
- Physician Assistant
- Tulsa, OK
National Provider Identifier
1639569577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12108
- Practice address
- 1145 S Utica Ave
Suite 460
Tulsa, OK 74104-4000 - Phone
- (918) 579-5749
- NPI assigned
- Jan 30, 2015
- Last updated
- May 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12108 | TX | Primary |
| Medical Physician Assistant | 363AM0700X | 2483 | OK |
Addresses
Primary practice location
1145 S Utica Ave
Suite 460
Tulsa, OK 74104-4000
Mailing address
1145 S Utica Ave
Ste 460
Tulsa, OK 74104-4041
Phone (918) 579-5749
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: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Pecan CRK
Southlake, TX 76092-6371
Phone (817) 468-7200
301 Highlander Blvd
Arlington, TX 76018-1164
Phone (817) 468-7200
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients |
Locations
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
Interoperability endpoints
- lkoirala292139@direct.phhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Arlington, TX
- NPI 1821224825
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1952763922
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1639569577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE",
"address_2": "STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "741044041",
"telephone_number": "918-579-5749",
"fax_number": "918-579-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE",
"address_2": "SUITE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "741044000",
"telephone_number": "918-579-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOIRALA",
"first_name": "LATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12108",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2483",
"primary": false
}
],
"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 May 16, 2022; 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.