NPIMap

Individual provider Active NPI

Ajay R Bedekar, M.D.

  • Specialist
  • Tulsa, OK
National Provider Identifier
1962478024
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27168 Issued in OK
Practice address
1245 S Utica Ave
3Rd Floor West
Tulsa, OK 74104-4214
Phone
(918) 382-2560
Fax
(918) 382-2569
NPI assigned
Feb 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M3905 TX
Specialist 174400000X 27168 OK Primary

Addresses

Primary practice location

1245 S Utica Ave
3Rd Floor West
Tulsa, OK 74104-4214

Mailing address

1245 S Utica Ave
3Rd Floor West
Tulsa, OK 74104-4214
Phone (918) 382-2560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000148 OK Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6901822816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Minnesota Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1245 S Utica Ave
Suite 300
Tulsa, OK 74104-4214
Phone (918) 382-2536

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Aug 1, 2017 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Aug 1, 2017 Accepting new patients
Family Medical Care of Tulsa Inc PastSince Jul 24, 2022 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Tyler Nephrology Associates, P.a. PastSince Aug 27, 2012 Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

1245 S Utica Ave
Fl 3
Tulsa, OK 74104
Phone (918) 382-2560

1245 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 382-2536

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: abedekar112826@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962478024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "address_2": "3RD FLOOR WEST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-382-2560",
            "fax_number": "918-382-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "address_2": "3RD FLOOR WEST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-382-2560",
            "fax_number": "918-382-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDEKAR",
        "first_name": "AJAY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M3905",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "27168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.