NPIMap

Individual provider Active NPI

David Nierenberg, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1851352512
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15739 Issued in OK
Practice address
2000 S Wheeling Ave Ste 700
Tulsa, OK 74104-5644
Phone
(918) 984-4999
Fax
(918) 986-7930
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15739 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 700
Tulsa, OK 74104-5644

Mailing address

2000 S Wheeling Ave Ste 700
Tulsa, OK 74104-5644
Phone (918) 984-4999

Other identifiers 1

IdentifierTypeStateIssuer
100030400AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001374 OK Practitioner - Internal Medicine 7810930104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 700
Tulsa, OK 74104-5644
Phone (918) 984-4999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15739OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dmnmdvip PLLC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients

Locations

2000 S Wheeling Ave
Ste 700
Tulsa, OK 74104
Phone (918) 984-4999

Interoperability endpoints

  • Direct secure messaging: david.nierenberg.1@19375.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1851352512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045644",
            "telephone_number": "918-984-4999",
            "fax_number": "918-986-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045644",
            "telephone_number": "918-984-4999",
            "fax_number": "918-986-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERENBERG",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.