NPIMap

Individual provider Active NPI

Kris Parchuri, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Tulsa, OK
National Provider Identifier
1881816197
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4109 Issued in OK
Practice address
8165 S Mingo Rd Ste 201
Tulsa, OK 74133-4668
Phone
(918) 286-3124
Fax
(918) 286-3764
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X M6328 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X 4737 AZ
Orthopaedic Surgery of the Spine Physician 207XS0117X 05-33854 KS
Orthopaedic Surgery of the Spine Physician 207XS0117X 4109 OK Primary

Addresses

Primary practice location

8165 S Mingo Rd Ste 201
Tulsa, OK 74133-4668

Mailing address

8165 S Mingo Rd Ste 201
Tulsa, OK 74133-4668
Phone (918) 286-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040604000260 OK Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 5597747345 Reassigns benefits to 1 organization
O20100930029262 OK DME Supplier - Physician - Osteopathic Manipulative Medicine 4183756885 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tulsa, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kansas City College of Medicine and Surgery, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8165 S Mingo Rd
Suite 201
Tulsa, OK 74133-4668
Phone (539) 664-4448

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion123
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-33854KSMDOrthopaedic Surgery of the Spine Physician
4737AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Spine Center of Oklahoma, PC CurrentSince Feb 5, 2010 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

9101 S Toledo Ave
Ste B
Tulsa, OK 74137
Phone (539) 664-4448

8165 S Mingo Rd
Ste 201
Tulsa, OK 74133
Phone (539) 664-4448

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 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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1881816197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334668",
            "telephone_number": "918-286-3124",
            "fax_number": "918-286-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334668",
            "telephone_number": "918-286-3124",
            "fax_number": "918-286-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCHURI",
        "first_name": "KRIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M6328",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "4737",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "05-33854",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OK",
            "license": "4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.