NPIMap

Organization Active NPI

Ahs Oklahoma Heart LLC

Doing business as Oklahoma Heart Institute

  • Specialist
  • Tulsa, OK
National Provider Identifier
1780857540
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AHS OKLAHOMA HEART LLC
Doing business as
Oklahoma Heart Institute
Practice address
9228 S Mingo Rd
Suite 200
Tulsa, OK 74133-5718
Phone
(918) 592-0999
Fax
(918) 878-2499
NPI assigned
Apr 11, 2008
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AHS HILLCREST HEALTHCARE SYSTEM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Stephen C. Petrovich
Title
Evp General Counsel
Phone
(615) 296-3594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

9228 S Mingo Rd
Suite 200
Tulsa, OK 74133-5718

Mailing address

9228 S Mingo Rd
Suite 200
Tulsa, OK 74133-5718
Phone (918) 592-0999

Other names 1

  • Oklahoma Heart Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080716000032 OK Part B Supplier - Clinic/Group Practice 4587737135 Receives reassigned benefits from 185 practitioners
Practice locations: Tulsa, OK; Pryor, OK; Owasso, OK; Okmulgee, OK; Henryetta, OK; Grove, OK; Claremore, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1076270Oklahoma Heart Institute9228 S Mingo Rd #200, Tulsa, OK 74133Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1501 N Florence Ave
Ste 101
Claremore, OK 74017
Phone (918) 341-4532

1501 N Florence Ave
Ste 201
Claremore, OK 74017
Phone (918) 341-1886

900 E 13th St
Ste 200
Grove, OK 74344
Phone (918) 786-7667

9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820

Dept 1218
Tulsa, OK 74182

Practitioners & affiliated clinicians

Practitioners 191

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 191

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1780857540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335718",
            "telephone_number": "918-592-0999",
            "fax_number": "918-878-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335718",
            "telephone_number": "918-592-0999",
            "fax_number": "918-878-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS OKLAHOMA HEART LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHS HILLCREST HEALTHCARE SYSTEM, LLC",
        "enumeration_date": "2008-04-11",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Heart Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.