Individual provider Active NPI

Natalia Tutak, MD

  • Pediatrics Physician
  • Oklahoma City, OK
National Provider Identifier
1689103467
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33088 Issued in OK
Practice address
13500 S. Tulsa Drive
Suite 200
Oklahoma City, OK 73170-7317
Phone
(405) 132-6967
Fax
(405) 713-2699
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33088 OK Primary

Addresses

Primary practice location

13500 S. Tulsa Drive
Suite 200
Oklahoma City, OK 73170-7317

Mailing address

13500 S Tulsa Dr Ste 200
Oklahoma City, OK 73170-9720
Phone (405) 713-2696

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
I20200807000084 OK Practitioner - Pediatric Medicine 7810312857 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Pediatrics CurrentSince Aug 1, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

13500 S Tulsa Dr
Ste 200
Oklahoma City, OK 73170
Phone (405) 713-2696

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

Interoperability endpoints

  • Direct secure messaging: ntutak377122@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1689103467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 S TULSA DR STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731709720",
            "telephone_number": "405-713-2696",
            "fax_number": "405-713-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 S. TULSA DRIVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707317",
            "telephone_number": "405-132-6967",
            "fax_number": "405-713-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTAK",
        "first_name": "NATALIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "33088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.