Ajay R Bedekar, M.D.
Individual provider Active NPI Specialist · Tulsa, OK
NPI 1962478024 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1962478024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 27168 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- 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 LLC
Practice addresses (Care Compare)
1245 S Utica Ave
Suite 300
Tulsa, OK 74104-4214
Phone (918) 382-2536
Hospital & facility affiliations
- Hillcrest Medical Center
- Hillcrest Hospital South
- Bailey Medical Center, LLC
- McAlester Regional Health Center
- Hillcrest Hospital Claremore
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090924000148 | OK | Practitioner - Pulmonary Disease |
6901822816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27168 | OK | MD | Specialist |
| M3905 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current |
Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| Tyler Nephrology Associates, P.a. | Past |
Accepting new patients | |
| Family Medical Care of Tulsa Inc | Past |
Accepting new patients |
Locations
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
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
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
Dept 1206
Tulsa, OK 74182
Interoperability endpoints
- abedekar112826@ahs.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M3905 | TX | |
| Specialist | 174400000X | 27168 | OK | Yes |
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
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.