Individual provider Active NPI

Susan K Steele, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1760453591
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2816 Issued in OK
Practice address
802 S Jackson Ave Ste 420
Tulsa, OK 74127-9059
Phone
(918) 584-5364
Fax
(918) 584-5394
NPI assigned
Jan 30, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2816 OK Primary

Addresses

Primary practice location

802 S Jackson Ave Ste 420
Tulsa, OK 74127-9059

Mailing address

802 S Jackson Ave Ste 420
Tulsa, OK 74127-9059
Phone (918) 584-5364

Other practice location 1

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 582-1980

Other identifiers 2

IdentifierTypeStateIssuer
100112220BMedicaidOK
OK402419OtherOKMEDICARE

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
I20040630000693 OK Practitioner - Family Practice 3870570625 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2816OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Centers for Excellence LLC CurrentSince Aug 30, 2024 Accepting new patients

Locations

8640 S Peoria Ave
Tulsa, OK 74132
Phone (310) 804-1231

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/493729/r4
  • Direct secure messaging: susan.steele.1@23846.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1760453591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S JACKSON AVE STE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279059",
            "telephone_number": "918-584-5364",
            "fax_number": "918-584-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S JACKSON AVE STE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279059",
            "telephone_number": "918-584-5364",
            "fax_number": "918-584-5394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Southwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741072705",
            "country_code": "US",
            "telephone_number": "918-582-1980",
            "fax_number": "918-561-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELE",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112220B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OK402419",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.