Organization Active NPI

Tulsa Cardiovascular Center of Excellence, L.L.C

  • Cardiovascular Disease Physician
  • Tulsa, OK
National Provider Identifier
1801355813
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TULSA CARDIOVASCULAR CENTER OF EXCELLENCE, L.L.C
Practice address
11912 S Norwood Ave Ste 105
Tulsa, OK 74137-5509
Phone
(918) 943-5303
Fax
(918) 943-5302
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Matthew J. Comstock, D.O.NPI 1174750749
Title
Sole MBR
Phone
(918) 943-5303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

11912 S Norwood Ave Ste 105
Tulsa, OK 74137-5509

Mailing address

PO Box 200
Jenks, OK 74037-0200
Phone (918) 943-5303

Other practice location 1

13616 East 103rd St N
Suite C
Tulsa, OK 74137
Phone (918) 943-5303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190828003522 OK Part B Supplier - Clinic/Group Practice 9931437977 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

11912 S Norwood Ave
#205
Tulsa, OK 74137

11912 S Norwood Ave
Ste 110
Tulsa, OK 74137
Phone (866) 243-7203

11912 S Norwood Ave
Ste 105
Tulsa, OK 74137
Phone (918) 943-5303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19684/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1801355813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740370200",
            "telephone_number": "918-943-5303",
            "fax_number": "855-312-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 S NORWOOD AVE STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375509",
            "telephone_number": "918-943-5303",
            "fax_number": "918-943-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13616 East 103rd St N",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74137",
            "country_code": "US",
            "telephone_number": "918-943-5303",
            "fax_number": "855-315-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TULSA CARDIOVASCULAR CENTER OF EXCELLENCE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "COMSTOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "918-943-5303",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.