NPIMap

Nathalie Victoria Andry, MD

Individual provider Active NPI Neuroradiology Physician · Tulsa, OK

NPI 1992022305 · NPPES record last updated Aug 5, 2021

Key facts

NPI
1992022305
Entity type
Individual (NPI type 1)
Primary specialty
Neuroradiology Physician 2085N0700X
License
45840 (AZ)
Practice address
4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone
(189) 353-5509
NPI assigned
Apr 24, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Health (1,450 clinicians)

Practice addresses (Care Compare)

9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital · La Jolla, CA · CCN 050324
  • Scripps Green Hospital Hospital · La Jolla, CA · CCN 050424
  • Scripps Memorial Hospital - Encinitas Hospital · Encinitas, CA · CCN 050503
  • Scripps Mercy Hospital Hospital · San Diego, CA · CCN 050077
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital · San Diego, CA · CCN 050025

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA, TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100812000408 CA Practitioner - Diagnostic Radiology 8921132903 Reassigns benefits to 1 organization
I20180816000632 TX Practitioner - Diagnostic Radiology 8921132903 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1658AZMDDentist
45840AZMDNeuroradiology Physician
A112796CAMDDiagnostic Radiology Physician
60250642NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health Current
since Jan 10, 2022		 Accepting new patients
Pawnee Indian Health Center Current
since Aug 10, 2020		 Accepting new patients
Lawton Indian Hospital Current
since Aug 10, 2020		 Accepting new patients
Clinton Indian Health Center Current
since Aug 10, 2020		 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Wewoka Indian Health Current
since Aug 10, 2020		 Accepting new patients
El Reno Indian Health Center Current
since Aug 10, 2020		 Accepting new patients
Anadarko Indian Health Center Current
since Aug 10, 2020		 Accepting new patients
Choctaw Nation of Oklahoma Current
since Aug 24, 2020		 Accepting new patients
Choctaw Nation of Oklahoma Current
since Aug 24, 2020		 Accepting new patients
Scripps Health Current
since Jan 10, 2022		 Accepting new patients
Scripps Health Current Accepting new patients
Pawnee IHS Pharmacy Past
since Sep 21, 2025		 Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past
since Nov 15, 2011		 Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology Past
since Feb 1, 2022		 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Mdig of Washington PLLC Diagnostic Radiology Past
since Feb 15, 2018		 Accepting new patients

Locations

9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282

Interoperability endpoints

  • Direct secure messaging: nandry216110@direct.valleywisehealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 35672 OK
Diagnostic Radiology Physician 2085R0202X A112796 CA
Diagnostic Radiology Physician 2085R0202X 60250642 NY
Neuroradiology Physician 2085N0700X 45840 AZ Yes

Addresses

Primary practice location

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201

Mailing address

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone (189) 353-5509

Other identifiers

IdentifierTypeStateIssuer
0A1127960MedicaidCA

Other names

  • Nathalie Victoria Gebara Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2021.

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1992022305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465201",
            "telephone_number": "189-353-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465201",
            "telephone_number": "189-353-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRY",
        "first_name": "NATHALIE",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-24",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OK",
            "license": "35672",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A112796",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "60250642",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "45840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1127960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "GEBARA",
            "middle_name": "VICTORIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

All providers in Tulsa, OK · Neuroradiology Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.