Kolton Matthew Kardokus, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0816R Issued in OK

Practice address

Osu College of Osteopathic Medicine
1111 W 17TH St.
Tulsa, OK 74107

Phone

(405) 545-2120

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: kolton.kardokus.1@17619.direct.athenahealth.com

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1932826385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 36TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053003",
            "telephone_number": "405-545-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OSU COLLEGE OF OSTEOPATHIC MEDICINE",
            "address_2": "1111 W 17TH ST.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74107",
            "telephone_number": "405-545-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDOKUS",
        "first_name": "KOLTON",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "0816R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Marie Kaplan, RN, CDE
• Fred A Kapple, DDS
• Angela Karathanos, MD
• Michael Karathanos, MD
• Kendall Karch
• Kare Force Anesthesia Services Inc
• Sohail Kareem, M.D.
• Karen H Lashley PHD
• Karen M Mitchell MD PLLC
• Ian Gregory Kargl

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.