Active NPI
Anika K Tandon, M.D.
- Ophthalmology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 30841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200589260B | Medicaid | OK | |
| 0A126192 | Medicaid | CA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Ophthalmology, PC | Ophthalmology | Current | 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
- 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.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Tulsa, OK
- NPI 1447244827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.