Individual provider Active NPI

Hazem Sokkar, M.D.

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1780659078
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20856 Issued in OK
Practice address
6108 S Memorial Dr
Tulsa, OK 74133-1933
Phone
(918) 627-8858
Fax
(918) 627-4004
NPI assigned
Feb 21, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20856 OK Primary

Addresses

Primary practice location

6108 S Memorial Dr
Tulsa, OK 74133-1933

Mailing address

6108 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 627-8858

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
I20041110000756 OK Practitioner - Psychiatry 5193618353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4833 S Sheridan Rd
Suite 408
Tulsa, OK 74145-5718
Phone (918) 627-8858

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20856OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Tulsa, P.C. Single Specialty CurrentSince Feb 11, 2003 Accepting new patients

Locations

4833 S Sheridan Rd
Ste 408
Tulsa, OK 74145
Phone (918) 627-8858

6108 S Memorial Dr
Tulsa, OK 74133
Phone (918) 627-8858

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1780659078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-627-8858",
            "fax_number": "918-627-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-627-8858",
            "fax_number": "918-627-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKKAR",
        "first_name": "HAZEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "20856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.