Pavan Brar, MD
Individual provider Active NPI Hospitalist Physician · Henryetta, OK
NPI 1992021802 · NPPES record last updated Feb 9, 2015
Key facts
- NPI
- 1992021802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 27791 (OK)
- Practice address
- 2403 W Main St
Henryetta, OK 74437-3893 - Phone
- (918) 650-1100
- Fax
- (918) 650-0568
- NPI assigned
- Apr 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Creek Nation Hospital and Clinics
Usacs Observation Medicine Services of Oklahoma, LLC
Practice addresses (Care Compare)
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
12451 E 100TH St N
Owasso, OK 74055-4600
Phone (918) 274-5000
1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101
31870
Suite 51
Coweta, OK 74429
Phone (918) 279-3200
Hospital & facility affiliations
- Creek Nation Community Hospital
- Muscogee (Creek) Nation Medical Center
- Council Oak Comprehensive Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- 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 |
|---|---|---|---|---|
| I20150306001925 | OK | Practitioner - Family Practice | 8022240092 | Reassigns benefits to 4 organizations |
| I20220829000802 | TX | Practitioner - Hospitalist | 8022240092 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| St. John Physicians, Inc | Current |
Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Hospitalist | Current |
Accepting new patients |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Past | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients | |
| Creek Nation Hospital & Clinics | Past | Accepting new patients | |
| Creek Nation Hospital & Clinics | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Dept 1038
Tulsa, OK 74182
Interoperability endpoints
- pavan.brar@direct.stjohnhealthsystem.com
- pbrar106938@ahs.direct-ci.com
- pbrar17988@muscogeecreeknation.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 27791 | OK | Yes |
Addresses
Primary practice location
2403 W Main St
Henryetta, OK 74437-3893
Mailing address
2403 W Main St
Henryetta, OK 74437-3893
Phone (918) 650-1100
Other providers in Henryetta, OK
- Quennie Sue Bessinger
- Bio Medical Applications of Oklahoma Inc
- Bio-Medical Applications of Oklahoma, Inc.
- Hayden Dean Black
- Bono Nursing Home Inc
- Michael L Brian
- Brenda Druecilla Britt
- Russell Kyle Brown
- Michael Terence Cain
- Katelyn Cheyanne Carpenter
All providers in Henryetta, OK · Hospitalist Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2015. 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.