NPIMap

Individual provider Active NPI

Adelaide L Priester, D.O.

  • Ophthalmology Physician
  • Tulsa, OK
National Provider Identifier
1922107648
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2472 Issued in OK
Practice address
4444 S Harvard Ave
Suite 300
Tulsa, OK 74135-2634
Phone
(918) 747-2020
Fax
(918) 747-2056
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2472 OK Primary

Addresses

Primary practice location

4444 S Harvard Ave
Suite 300
Tulsa, OK 74135-2634

Mailing address

244 S. Gateway Place
Suite 401
Jenks, OK 74037
Phone (918) 747-2020

Other identifiers 3

IdentifierTypeStateIssuer
100176260AMedicaidOK
1457746OtherOKUNITED HEALTHCARE
4573409OtherOKAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20061103000467 OK Practitioner - Ophthalmology 6507863552 Reassigns benefits to 2 organizations
I20230312000064 TX Practitioner - Ophthalmology 6507863552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Oklahoma Medical Eye GroupGroup PAC ID 7719291202, 9 clinicians

Practice addresses (Care Compare)

1101 S Belmont Ave
Okmulgee, OK 74447-6315

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

900 W Main
Henryetta, OK 74437-4252
Phone (918) 747-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
91.18 of 100Reported as group
Quality
97.84
Improvement activities
40
Cost
73.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2472OKMDOccupational Therapy Assistant
2474OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Aug 29, 2012 Accepting new patients
Oklahoma Medical Eye Group Ophthalmology CurrentSince Jun 1, 2015 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 9, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 29, 2012 Accepting new patients
Northeastern Health System Past Accepting new patients

Locations

900 W Main St
Henryetta, OK 74437
Phone (918) 652-2345

224 S Gateway Pl
Ste 101
Jenks, OK 74037

244 S Gateway Pl
Ste 401
Jenks, OK 74037

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

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

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

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

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

4444 S Harvard Ave
Ste 300
Tulsa, OK 74135
Phone (918) 992-6400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1922107648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S. GATEWAY PLACE",
            "address_2": "SUITE 401",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-747-2020",
            "fax_number": "918-747-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S HARVARD AVE",
            "address_2": "SUITE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352634",
            "telephone_number": "918-747-2020",
            "fax_number": "918-747-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTER",
        "first_name": "ADELAIDE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176260A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1457746",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4573409",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.