Philip Pookkattu Paul, M.D.
Individual provider Active NPI Family Medicine Physician · Newcastle, OK
NPI 1821524364 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1821524364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44857 (OK)
- Practice address
- 729 NW 32ND PL
Newcastle, OK 73065-3623 - Phone
- (405) 529-3173
- Fax
- (405) 529-3174
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
1060 SW 4TH St
Moore, OK 73160-2494
Phone (405) 378-5491
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
729 NW 32ND PL
Newcastle, OK 73065-3623
Phone (405) 529-3173
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT, TX, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210712002005 | CT | Practitioner - Family Practice | 1951678499 | Reassigns benefits to 1 organization |
| I20210826002896 | TX | Practitioner - Family Practice | 1951678499 | Reassigns benefits to 3 organizations |
| I20250527001904 | OK | Practitioner - Family Practice | 1951678499 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69020 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Indian Hospital | Current |
Accepting new patients | |
| Middlesex Hospital | Family Medicine | Current |
Accepting new patients |
| Carnegie Indian Health Center | Current |
Accepting new patients | |
| Middlesex Hospital | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current |
Accepting new patients |
| Anadarko Indian Health Center | Current |
Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past |
Accepting new patients |
Locations
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
90 S Main St
Middletown, CT 06457
Phone (860) 358-6300
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
729 NW 32nd Pl
Newcastle, OK 73065
Phone (405) 529-3173
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- ppaul13444@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 69020 | CT | |
| Family Medicine Physician | 207Q00000X | 44857 | OK | Yes |
Addresses
Primary practice location
729 NW 32ND PL
Newcastle, OK 73065-3623
Mailing address
729 NW 32ND PL
Newcastle, OK 73065-3623
Phone (405) 529-3173
Other providers in Newcastle, OK
- Optimum Dental of Newcastle, PLLC
- Ortho Central
- Allison Owens
- Caitlyn Padilla
- Samir Patel
- Pediatric Dental Services of Oklahoma PLLC
- Wendy Lynn Perry
- Wesley Edward Pope
- PTMS 3.0, LLC
- Tanya Rennie
All providers in Newcastle, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.