Active NPI
Mousumi Som, DO
- Internal Medicine Physician
- Tulsa, OK
National Provider Identifier
1730350034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4558
- Practice address
- 717 S Houston Ave Ste 304
Tulsa, OK 74127-9023 - Phone
- (918) 382-5064
- Fax
- (918) 382-3589
- NPI assigned
- Mar 14, 2008
- Last updated
- Feb 12, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4558 | OK | Primary |
Addresses
Primary practice location
717 S Houston Ave Ste 304
Tulsa, OK 74127-9023
Mailing address
717 S Houston Ave Ste 304
Tulsa, OK 74127-9023
Phone (918) 382-5064
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200207600A | Medicaid | OK | |
| OK402972 | Other | OK | MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701
Hospital & facility affiliations
- Oklahoma State University Medical Center
- Cherokee Nation W W Hastings Indian Hospital
- McAlester Regional Health Center
- Saint Francis Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4558 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma State University | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| Oklahoma State University Medical Trust | Past | Accepting new patients |
Locations
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Dept 2563
Tulsa, OK 74182
Interoperability endpoints
- msom216602@direct.saintfrancis.com
Organizations & group practices 3
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.
-
dba OSU Speech-Language-Hearing Clinic
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
dba OSU Physicians Clinical Laboratory
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
dba Oklahoma State University Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba McAlester Regional Health Center
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
dba Oklahoma State University Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1730350034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 304",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-382-5064",
"fax_number": "918-382-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 304",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-382-5064",
"fax_number": "918-382-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOM",
"first_name": "MOUSUMI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "4558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200207600A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "OK402972",
"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 Feb 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.