NPIMap

Individual provider Active NPI

Azad Dadgar-Dehkordi, D.O.

  • Orthopaedic Trauma Physician
  • Tulsa, OK
National Provider Identifier
1962617613
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
5325 Issued in OK
Practice address
5110 S Yale Ave Ste 525
Tulsa, OK 74135
Phone
(918) 392-4547
Fax
(918) 392-4555
NPI assigned
May 14, 2007
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 5325 OK Primary

Addresses

Primary practice location

5110 S Yale Ave Ste 525
Tulsa, OK 74135

Mailing address

5110 S Yale Ave Ste 525
Tulsa, OK 74135-7485
Phone (918) 392-4547

Other identifiers 1

IdentifierTypeStateIssuer
200494770BMedicaidOK

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
I20130820000705 OK Practitioner - Orthopedic Surgery 2264691997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Trauma Service of Oklahoma, PCGroup PAC ID 2163501693, 5 clinicians

Practice addresses (Care Compare)

5110 S Yale Ave
Suite 525
Tulsa, OK 74135-7485
Phone (918) 392-4547

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
49.7
Promoting interoperability
99
Improvement activities
40
Cost
71.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5325OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St John Medical Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adadgardehkordi331879@ahs.direct-ci.com

Organizations & group practices 2

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 8

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1962617613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 525",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357485",
            "telephone_number": "918-392-4547",
            "fax_number": "918-392-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 525",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-392-4547",
            "fax_number": "918-392-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADGAR-DEHKORDI",
        "first_name": "AZAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "OK",
            "license": "5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200494770B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.