Individual provider Active NPI

Paul Andrew Scott Benson, MD

  • Pediatric Adolescent Medicine Physician
  • Tulsa, OK
National Provider Identifier
1922038348
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
30099 Issued in OK
Practice address
4444 E. 41St Street, 2ND Floor
Ou Physicians -- Pediatrics
Tulsa, OK 74135
Phone
(918) 660-3400
Fax
(918) 660-3410
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 35088035 OH
Pediatric Adolescent Medicine Physician 2080A0000X 30099 OK Primary

Addresses

Primary practice location

4444 E. 41St Street, 2ND Floor
Ou Physicians -- Pediatrics
Tulsa, OK 74135

Mailing address

4502 E. 41St Street, Room 2A41
Ou-Tulsa School of Community Medicine
Tulsa, OK 74135
Phone (918) 660-3400

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
I20131114001658 OK Practitioner - Pediatric Medicine 6305861436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Rush Medical College of Rush University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

591 E 36TH St N
Ou Physicians Tulsa Wayman Tisdale Clinic
Tulsa, OK 74106-1812
Phone (918) 619-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30099OKMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa CurrentSince Oct 1, 2013 Accepting new patients

Locations

4444 E 41st St
Ste A
Tulsa, OK 74135
Phone (682) 303-0376

4502 E 41st St
Rm 2A41
Tulsa, OK 74135

4444 E 41st St
Fl 2
Tulsa, OK 74135
Phone (918) 619-4300

4502 E 41st St
Tulsa, OK 74135
Phone (918) 579-2367

591 E 36th St N
Tulsa, OK 74106
Phone (918) 619-8700

1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600

Interoperability endpoints

  • Direct secure messaging: pbenson28322@ouhealth.direct-ci.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1922038348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E. 41ST STREET, ROOM 2A41",
            "address_2": "OU-TULSA SCHOOL OF COMMUNITY MEDICINE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-660-3400",
            "fax_number": "918-660-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E. 41ST STREET, 2ND FLOOR",
            "address_2": "OU PHYSICIANS -- PEDIATRICS",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-660-3400",
            "fax_number": "918-660-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "PAUL",
        "middle_name": "ANDREW SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35088035",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "30099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.