NPIMap

Individual provider Active NPI

Priyanka Pathania, M.D.

  • Pulmonary Disease Physician
  • Tulsa, OK
National Provider Identifier
1720242340
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31134 Issued in OK
Practice address
1725 E 19TH St Ste 200
Tulsa, OK 74104-5419
Phone
(918) 748-8381
NPI assigned
Jul 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 31134 OK Primary

Addresses

Primary practice location

1725 E 19TH St Ste 200
Tulsa, OK 74104-5419

Mailing address

1725 E 19TH St Ste 200
Tulsa, OK 74104-5419
Phone (918) 748-8381

Other practice location 1

250 Main St Apt 236
Hartford, CT 06106-1869
Phone (918) 748-8381

Other identifiers 1

IdentifierTypeStateIssuer
201036890AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203000189 OK Practitioner - Pulmonary Disease 1759774359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31134OKMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Feb 7, 2022 Accepting new patients
St. John Physicians, Inc. CurrentSince Jan 26, 2022 Accepting new patients
Tulsa Pulmonary and Allergy Consultants Inc Pulmonary Disease PastSince Jan 26, 2022 Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1725 E 19th St
Ste 200
Tulsa, OK 74104
Phone (918) 748-8381

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1720242340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045419",
            "telephone_number": "918-748-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045419",
            "telephone_number": "918-748-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Main St Apt 236",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061869",
            "country_code": "US",
            "telephone_number": "918-748-8381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHANIA",
        "first_name": "PRIYANKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "31134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201036890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.