Individual provider Active NPI

Michael Steven Gebetsberger, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1851378350
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20681 Issued in OK
Practice address
9001 S 101St East Ave
Ste 200
Tulsa, OK 74133-5708
Phone
(918) 392-5470
Fax
(918) 294-6851
NPI assigned
Dec 27, 2005
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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 20681 OK Primary

Addresses

Primary practice location

9001 S 101St East Ave
Ste 200
Tulsa, OK 74133-5708

Mailing address

9001 S 101St East Ave
Ste 200
Tulsa, OK 74133-5708
Phone (918) 392-5470

Other identifiers 1

IdentifierTypeStateIssuer
100102760AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000266 OK Practitioner - Internal Medicine 8729153994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-6987

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Regional Health Center Authority CurrentSince Mar 7, 2024 Accepting new patients

Locations

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1 E Clark Bass Blvd
#H
McAlester, OK 74501
Phone (918) 421-6941

1 E Clark Bass Blvd
Ste 350
McAlester, OK 74501
Phone (918) 421-6753

Interoperability endpoints

  • Direct secure messaging: mgebetsberger112944@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1851378350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-392-5470",
            "fax_number": "918-294-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-392-5470",
            "fax_number": "918-294-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBETSBERGER",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.