Active NPI
Susan K Steele, DO
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1760453591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2816
- 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, 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100112220B | Medicaid | OK | |
| OK402419 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2816 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetic Centers for Excellence LLC | Current | Accepting new patients |
Locations
8640 S Peoria Ave
Tulsa, OK 74132
Phone (310) 804-1231
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/493729/r4
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Tulsa, OK
- NPI 1043993546
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
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.