Individual provider Active NPI

Anika K Tandon, M.D.

  • Ophthalmology Physician
  • Tulsa, OK
National Provider Identifier
1982838397
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30841 Issued in OK
Practice address
4606 E. 67TH St.
BLDG 7, Suite 400
Tulsa, OK 74136-4950
Phone
(918) 949-9898
Fax
(918) 728-8091
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A126192 CA
Ophthalmology Physician 207W00000X 30841 OK Primary

Addresses

Primary practice location

4606 E. 67TH St.
BLDG 7, Suite 400
Tulsa, OK 74136-4950

Mailing address

4606 E. 67TH St.
BLDG 7, Suite 400
Tulsa, OK 74136-4950
Phone (918) 949-9898

Other identifiers 2

IdentifierTypeStateIssuer
200589260BMedicaidOK
0A126192MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150616002526 OK Practitioner - Ophthalmology 8426299629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Ophthalmology PCGroup PAC ID 3577592682, 8 clinicians

Practice addresses (Care Compare)

4606 E 67TH St
Suite 400
Tulsa, OK 74136-4950
Phone (918) 949-9898

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ophthalmology, PC Ophthalmology CurrentSince Feb 1, 2016 Accepting new patients

Locations

1704 N 9th St
Broken Arrow, OK 74012
Phone (918) 355-7450

9540 N Garnett Rd
Ste 110
Owasso, OK 74055
Phone (918) 609-7010

4606 E 67th St
Ste 400
Tulsa, OK 74136
Phone (918) 481-2796

Interoperability endpoints

  • Direct secure messaging: atandon133803@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1982838397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E. 67TH ST.",
            "address_2": "BLDG 7, SUITE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-949-9898",
            "fax_number": "918-728-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E. 67TH ST.",
            "address_2": "BLDG 7, SUITE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-949-9898",
            "fax_number": "918-728-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "ANIKA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A126192",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "30841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200589260B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A126192",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.