Active NPI
Fernando Motta, MD
- Vascular Surgery Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 40505
- Practice address
- 4444 E 41St St
Tulsa, OK 74135-2527 - Phone
- (918) 619-4400
- Fax
- (918) 619-4960
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 40505 | OK | Primary |
Addresses
Primary practice location
4444 E 41St St
Tulsa, OK 74135-2527
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 634-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201188040A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
1919 S Wheeling
Suite 600
Tulsa, OK 74104-5635
Phone (918) 634-7500
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Council Oak Comprehensive Healthcare
- Unc Hospitals
- Saint Francis Hospital South, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma Ou Physicians Tulsa | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Locations
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
1919 S Wheeling Ave
Ste 600
Tulsa, OK 74104
Phone (918) 634-7500
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600
Dept 1467
Tulsa, OK 74182
4444 E 41st St
Tulsa, OK 74135
591 E 36th St N
Tulsa, OK 74106
Phone (918) 619-8700
Interoperability endpoints
- fmotta23391@muscogeecreeknation.direct-ci.com
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.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1154385730
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Clinic/Center
- Okmulgee, OK
- NPI 1326446188
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1972166437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-634-7500",
"fax_number": "918-634-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352527",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTA",
"first_name": "FERNANDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OK",
"license": "40505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201188040A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.