Active NPI
Frank E Peluso, DO
- Gastroenterology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2892
- Practice address
- 6160 S Yale Ave FL 1
Tulsa, OK 74136-1930 - Phone
- (918) 497-3300
- Fax
- (918) 497-3365
- NPI assigned
- Oct 5, 2005
- Last updated
- May 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2892 | OK | Primary |
Addresses
Primary practice location
6160 S Yale Ave FL 1
Tulsa, OK 74136-1930
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361
Phone (918) 488-6045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117424003 | Medicaid | AR | |
| 100007390A | Medicaid | OK |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Adult Gastroenterology Associates Inc | Gastroenterology | 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
1725 E 19th St
Ste 600
Tulsa, OK 74104
Phone (918) 748-1330
6160 S Yale Ave
Fl 1
Tulsa, OK 74136
Phone (918) 495-2600
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Gastroenterology Physician
- Tulsa, OK
- NPI 1306884812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1689661530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363361",
"telephone_number": "918-488-6045",
"fax_number": "918-488-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 S YALE AVE FL 1",
"city": "TULSA",
"state": "OK",
"postal_code": "741361930",
"telephone_number": "918-497-3300",
"fax_number": "918-497-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELUSO",
"first_name": "FRANK",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "2892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117424003",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007390A",
"state": "OK"
}
],
"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 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.