Individual provider Active NPI

Bill Huynh, P.A-C

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1699079558
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
E081106875 Issued in OK
Practice address
2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642
Phone
(918) 747-5200
Fax
(918) 858-0290
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X E081106875 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642

Mailing address

2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642
Phone (918) 747-5200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000279 OK Practitioner - Physician Assistant 6709063894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, Inc.Group PAC ID 9234020629, 21 clinicians

Practice addresses (Care Compare)

3369 W Broadway St
Muskogee, OK 74401-2134
Phone (918) 747-5200

3500 State St
Bartlesville, OK 74006-2924
Phone (918) 331-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
E081106875OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald R Hale DO PLLC PastSince Jan 19, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bhuynh51578@direct.acumenmd.com

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": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1699079558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045642",
            "telephone_number": "918-747-5200",
            "fax_number": "918-858-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045642",
            "telephone_number": "918-747-5200",
            "fax_number": "918-858-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "BILL",
        "name_prefix": "Mr.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "E081106875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.