Organization Active NPI

Idcokc PLLC

  • Infusion Therapy Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1851078059
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
IDCOKC PLLC
Practice address
4221 S Western Ave Ste 4010
Oklahoma City, OK 73109-3492
Phone
(405) 644-6464
Fax
(405) 644-6465
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Mr. Jarrod Louis Rees
Title
Admin
Phone
(405) 644-6464

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X
Home Infusion Agency 251F00000X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

4221 S Western Ave Ste 4010
Oklahoma City, OK 73109-3492

Mailing address

4221 S Western Ave Ste 4010
Oklahoma City, OK 73109-3492
Phone (405) 644-6464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240103003833 OK Part B Supplier - Clinic/Group Practice 0749631745 Receives reassigned benefits from 4 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109
Phone (405) 631-3435

4421 S Western Ave Ste 4010
Oklahoma City, OK 73109

Practitioners & affiliated clinicians

Practitioners 4

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": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1851078059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093492",
            "telephone_number": "405-644-6464",
            "fax_number": "405-644-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093492",
            "telephone_number": "405-644-6464",
            "fax_number": "405-644-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDCOKC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "405-644-6464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.