Individual provider Active NPI

Salah Uddin, M.D.

  • Nephrology Physician
  • Tulsa, OK
National Provider Identifier
1861676736
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
63787 Issued in WI
Practice address
2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642
Phone
(918) 747-5200
Fax
(918) 858-0290
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 63787 WI Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642

Mailing address

4538 S Harvard Ave
Tulsa, OK 74135-2906
Phone (918) 744-2925

Other practice location 1

4538 S Harvard Ave
Tulsa, OK 74135-2906
Phone (918) 744-2925

Other practice location 2

1923 E 21st St Ste 200
Tulsa, OK 74114-1447
Phone (918) 744-2925

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
I20161018001451 OK Practitioner - Nephrology 0749334118 Reassigns benefits to 3 organizations
I20240718002142 TX Practitioner - Nephrology 0749334118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians
Nephrology Associates, Inc.Group PAC ID 9234020629, 21 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

2000 S Wheeling Ave
Suite 510
Tulsa, OK 74104-5642
Phone (918) 747-5200

Hospital & facility affiliations

  • DaVita Muskogee Community Dialysis Center Dialysis facility, Muskogee, OK, CCN 372549
  • DaVita Wagoner Dialysis Dialysis facility, Wagoner, OK, CCN 372606
  • Fresenius Medical Care South Tulsa Dialysis facility, Tulsa, OK, CCN 372538
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63787WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jul 2, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2015 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
St. John Physicians, Inc CurrentSince Sep 19, 2016 Accepting new patients
Nephrology Associates, Inc. Nephrology CurrentSince Mar 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jul 2, 2024 Accepting new patients
St. John Physicians, Inc. CurrentSince Sep 19, 2016 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2015 Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

3500 State St
Bartlesville, OK 74006
Phone (918) 224-9620

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

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

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

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

1923 E 21st St
Ste 200
Tulsa, OK 74114
Phone (918) 744-6966

4538 S Harvard Ave
Tulsa, OK 74135
Phone (918) 269-1595

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

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

Dept 515
Tulsa, OK 74182

2000 S Wheeling Ave
Ste 510
Tulsa, OK 74104
Phone (918) 747-5200

Dept 1467
Tulsa, OK 74182

3034 Fish Hatchery Rd
Fitchburg, WI 53713
Phone (608) 270-5600

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: suddin286720@ahs.direct-ci.com
  • Direct secure messaging: suddin36527@direct.acumenmd.com

Organizations & group practices 10

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 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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1861676736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352906",
            "telephone_number": "918-744-2925",
            "fax_number": "918-744-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045642",
            "telephone_number": "918-747-5200",
            "fax_number": "918-858-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4538 S Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352906",
            "country_code": "US",
            "telephone_number": "918-744-2925",
            "fax_number": "918-744-3671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 E 21st St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741141447",
            "country_code": "US",
            "telephone_number": "918-744-2925",
            "fax_number": "918-744-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "SALAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "63787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.