Individual provider Active NPI

Emad Samir Attallah-Wasif, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
National Provider Identifier
1851581185
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
31431 Issued in OK
Practice address
10124 S Sheridan Rd
Ste B
Tulsa, OK 74133-6742
Phone
(774) 473-9119
Fax
(877) 220-3112
NPI assigned
Aug 1, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 31431 OK Primary

Addresses

Primary practice location

10124 S Sheridan Rd
Ste B
Tulsa, OK 74133-6742

Mailing address

10124 S Sheridan Rd
Ste B
Tulsa, OK 74133-6742
Phone (774) 473-9119

Other practice location 1

6048 S Sheridan Rd
Tulsa, OK 74145-9212
Phone (918) 935-3240

Other identifiers 1

IdentifierTypeStateIssuer
200593270AMedicaidOK

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
I20150708000298 OK Practitioner - AnesthesiologyPractitioner - Pain Management 1052569423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10124 S Sheridan Rd
Suite B
Tulsa, OK 74133-6742
Phone 9189867533101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31431OKMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Chronic Pain Specialists, PLLC Pain Medicine CurrentSince Jun 1, 2017 Accepting new patients
Springfield Anesthesia Service, Inc. Past Accepting new patients
H&H Medical Services, Inc PastSince Jun 1, 2017 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

10124 S Sheridan Rd
Ste B
Tulsa, OK 74133
Phone (774) 473-9119

Organizations & group practices 4

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 3

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851581185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 S SHERIDAN RD",
            "address_2": "STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336742",
            "telephone_number": "774-473-9119",
            "fax_number": "877-220-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 S SHERIDAN RD",
            "address_2": "STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336742",
            "telephone_number": "774-473-9119",
            "fax_number": "877-220-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048 S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459212",
            "country_code": "US",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTALLAH-WASIF",
        "first_name": "EMAD",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "31431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.