Individual provider Active NPI

Elizabeth Kay Dolin, D.O.

  • Pulmonary Disease Physician
  • Tulsa, OK
National Provider Identifier
1861673493
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4064 Issued in OK
Practice address
1725 E 19TH St
Suite 200
Tulsa, OK 74104-5437
Phone
(918) 748-8381
Fax
(918) 748-8397
NPI assigned
Nov 26, 2007
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0057 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M0057 TX
Pulmonary Disease Physician 207RP1001X M0057 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X M0057 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4064 OK
Internal Medicine Physician 207R00000X 4064 OK
Pulmonary Disease Physician 207RP1001X 4064 OK Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4064 OK

Addresses

Primary practice location

1725 E 19TH St
Suite 200
Tulsa, OK 74104-5437

Mailing address

1515 N Harvard Ave
Ste E
Tulsa, OK 74115-4957
Phone (918) 832-6049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080829000398 OK Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1153497011 Reassigns benefits to 3 organizations
I20240111004525 TX Practitioner - Sleep Medicine 1153497011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Critical Care Medicine of Oklahoma, LLCGroup PAC ID 3577096783, 17 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

1000 W Boise Cir
Broken Arrow, OK 74012-4900
Phone (918) 994-8000

1705 E 19TH St
Tulsa, OK 74104-5410

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4064OKMDPharmacy Technician
M0057TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jan 3, 2024 Accepting new patients
St. John Physicians, Inc CurrentSince Jul 15, 2011 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 3, 2024 Accepting new patients
Creek Nation Hospital & Clinics Internal Medicine Current Accepting new patients
Usacs Critical Care Medicine of Oklahoma, LLC Critical Care Medicine CurrentSince Nov 5, 2024 Accepting new patients
St. John Physicians, Inc. Internal Medicine CurrentSince Jul 15, 2011 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 3, 2024 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Tulsa Pulmonary and Allergy Consultants Inc Critical Care Medicine Past Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1725 E 19th St
Ste 200
Tulsa, OK 74104
Phone (918) 748-8381

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1515 N Harvard Ave
Ste E
Tulsa, OK 74115
Phone (918) 832-6049

Dept 1467
Tulsa, OK 74182

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Organizations & group practices 9

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 6

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1861673493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARVARD AVE",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741154957",
            "telephone_number": "918-832-6049",
            "fax_number": "918-832-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045437",
            "telephone_number": "918-748-8381",
            "fax_number": "918-748-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIN",
        "first_name": "ELIZABETH",
        "middle_name": "KAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0057",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M0057",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M0057",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M0057",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "4064",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "4064",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "4064",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OK",
            "license": "4064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.