Organization Active NPI

Omega Practice Management Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tulsa, OK
National Provider Identifier
1811907538
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
OMEGA PRACTICE MANAGEMENT INC
Practice address
1145 S. Utica
Ste 901
Tulsa, OK 74104-4013
Phone
(918) 392-7071
Fax
(918) 392-7072
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Anil K Reddy, M.D.NPI 1003981135
Title
Physical Medicine & Rehabilitiation
Phone
(918) 392-7071

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

1145 S. Utica
Ste 901
Tulsa, OK 74104-4013

Mailing address

9130 E 77TH St
Tulsa, OK 74133-4922

Other identifiers 2

IdentifierTypeStateIssuer
085841112004OtherOKBLUECROSSBLUESHIELD OF OK
100010230BMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000456 OK Part B Supplier - Clinic/Group Practice 2668579343 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

9725 E 79th St
Ste A
Tulsa, OK 74133
Phone (918) 252-0112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFDCA

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1811907538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 E 77TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S. UTICA",
            "address_2": "STE 901",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044013",
            "telephone_number": "918-392-7071",
            "fax_number": "918-392-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PRACTICE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL MEDICINE & REHABILITIATION",
        "authorized_official_telephone_number": "918-392-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF OK",
            "identifier": "085841112004",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010230B",
            "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 Aug 13, 2008; 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.