Active NPI
Liphard O D'Souza, MD
- Sleep Medicine (Psychiatry & Neurology) Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 15158
- Practice address
- 4157 S Harvard Ave
Suite 130
Tulsa, OK 74135-2631 - Phone
- (918) 296-0596
- Fax
- (918) 296-0596
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 15158 | OK | Primary |
Addresses
Primary practice location
4157 S Harvard Ave
Suite 130
Tulsa, OK 74135-2631
Mailing address
PO Box 701353
Tulsa, OK 74170-1353
Phone (918) 296-0596
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100379610B | Medicaid | KS | |
| 0599597 | Medicaid | IA | |
| 100008970A | Medicaid | OK | |
| 100008970B | Medicaid | OK |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050531000666 | OK | Practitioner - Neurology | 0840232856 |
Reassigns benefits to 1 organization Practice locations: Tulsa, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1971
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3020 S Harvard Ave
Suite 100
Tulsa, OK 74114-6136
Phone (918) 296-0596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Dynamics LLC | Current | Accepting new patients | |
| L and M Investments LLC | Current | Accepting new patients | |
| Neuropathy Treatment Clinic of Oklahoma LLC | Current | Accepting new patients | |
| Jane Phillips Memorial Medical Center Inc | Past | Accepting new patients | |
| JP Sleep Disorders LLC | Past | Accepting new patients | |
| Oklahoma Sleep Specialists LLC | Past | Accepting new patients | |
| Neurologic Services of Oklahoma LLC | Past | Accepting new patients |
Locations
234 SE Debell Ave
Bartlesville, OK 74006
Phone (918) 574-6470
6001 NW 139th St
Oklahoma City, OK 73142
Phone (405) 271-4646
22 S Lewis Ave
Tulsa, OK 74104
Phone (918) 770-9333
1810 E 15th St
Tulsa, OK 74104
Phone (918) 499-2000
4636 S Harvard Ave
Ste 102
Tulsa, OK 74135
Phone (918) 574-6470
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1386185353
OK
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1104437219
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tulsa, OK
- NPI 1518332170
-
- Emergency Medicine Physician
- Bartlesville, OK
- NPI 1518092832
-
- Durable Medical Equipment & Medical Supplies
- Bartlesville, OK
- NPI 1881855674
-
- Electrodiagnostic Medicine Physician
- Tulsa, OK
- NPI 1790722239
-
- Sleep Medicine (Family Medicine) Physician
- Tulsa, OK
- NPI 1952659732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414886400000",
"number": "1790729150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701353",
"city": "TULSA",
"state": "OK",
"postal_code": "741701353",
"telephone_number": "918-296-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4157 S HARVARD AVE",
"address_2": "SUITE 130",
"city": "TULSA",
"state": "OK",
"postal_code": "741352631",
"telephone_number": "918-296-0596",
"fax_number": "918-296-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'SOUZA",
"first_name": "LIPHARD",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2014-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "OK",
"license": "15158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100379610B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0599597",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100008970A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100008970B",
"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 Nov 2, 2014; 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.