Individual provider Active NPI

Morad L El-Raheb, MD

  • Hospitalist Physician
  • Tulsa, OK
National Provider Identifier
1659347326
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
18086 Issued in OK
Practice address
1145 S Utica Ave
Ste 460
Tulsa, OK 74104-4000
Phone
(918) 579-5749
Fax
(918) 579-5762
NPI assigned
Feb 23, 2006
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18086 OK
Hospitalist Physician 208M00000X 18086 OK Primary

Addresses

Primary practice location

1145 S Utica Ave
Ste 460
Tulsa, OK 74104-4000

Mailing address

1145 S Utica Ave
Ste 460
Tulsa, OK 74104-4000
Phone (918) 579-5749

Other identifiers 1

IdentifierTypeStateIssuer
200097640AMedicaidOK

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
I20101101001333 OK Practitioner - HospitalistPractitioner - Internal Medicine 1052322658 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18086OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Hospitalists Inc Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Thi Specialists LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Ctca Physicans Group of Oklahoma, Inc Past Accepting new patients
Tranquility Hospice LLC PastSince Apr 30, 2003 Accepting new patients

Locations

1145 S Utica Ave
Ste 1105
Tulsa, OK 74104
Phone (918) 579-5724

1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

1611 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-3664

2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

Interoperability endpoints

  • Direct secure messaging: melraheb106937@ahs.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1659347326",
    "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": "741044000",
            "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": "STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-RAHEB",
        "first_name": "MORAD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18086",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "18086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.