Individual provider Active NPI

Michelle Barbara Polan, M.D.

  • Clinical Genetics (M.D.) Physician
  • Tulsa, OK
National Provider Identifier
1689835209
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
32639 Issued in OK
Practice address
9820 E 41St St Ste 301
Tulsa, OK 74146-3605
Phone
(405) 862-7850
Fax
(844) 682-1330
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Biochemical Genetics 207SG0207X 32639 OK
Clinical Genetics (M.D.) Physician 207SG0201X 32639 OK Primary

Addresses

Primary practice location

9820 E 41St St Ste 301
Tulsa, OK 74146-3605

Mailing address

9820 E 41St St Ste 301
Tulsa, OK 74146-3605
Phone (405) 862-7850

Other names 1

  • Ms. Maria Barbara Swirska Former name

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
I20170202000261 OK Practitioner - Pediatric Medicine 9234357237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9820 E 41St St
Suite 301
Tulsa, OK 74146-3605
Phone (405) 862-7850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32639OKMDMedical license number

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder Medical Consulting, LLC Clinical Genetics (M.D.) CurrentSince Dec 6, 2023 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince May 31, 2019 Accepting new patients

Locations

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3330 NW 56th St
Ste 305
Oklahoma City, OK 73112
Phone (405) 606-7800

13601 W Memorial Park Dr
Ste 200
Oklahoma City, OK 73120
Phone (405) 862-7850

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3330 NW 56th St
Ste 500
Oklahoma City, OK 73112
Phone (405) 713-7060

9820 E 41st St
Ste 301
Tulsa, OK 74146
Phone (405) 862-7850

Organizations & group practices 2

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1689835209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 E 41ST ST STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463605",
            "telephone_number": "405-862-7850",
            "fax_number": "844-682-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 E 41ST ST STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463605",
            "telephone_number": "405-862-7850",
            "fax_number": "844-682-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAN",
        "first_name": "MICHELLE",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0207X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Medical Biochemical Genetics",
            "state": "OK",
            "license": "32639",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "OK",
            "license": "32639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SWIRSKA",
            "middle_name": "BARBARA",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.