MKB ENTERPRISES LLC
NPI 1003772468
Clinic/Center - Primary Care in Catoosa, OK
About Mkb Enterprises Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MKB ENTERPRISES LLC (NPI 1003772468) is a healthcare organization registered as a primary care in Catoosa, Oklahoma and active in the NPI registry since December 2025. The organization lists Kelly Ann Bailey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mkb Enterprises Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mkb Enterprises LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mkb Enterprises LLC's NPI number?
The NPI number for Mkb Enterprises LLC is 1003772468. It was assigned to this organization in the NPPES registry on December 30, 2025.
Where is Mkb Enterprises LLC located?
Mkb Enterprises LLC is located at 650 S Cherokee St, Catoosa, OK 74015. The listed phone number is (918) 645-3331.
What is Mkb Enterprises LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mkb Enterprises LLC enrolled in Medicare?
Yes. Mkb Enterprises LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mkb Enterprises LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mkb Enterprises LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mkb Enterprises LLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mkb Enterprises Llc · NPI 1003772468
Primary Care organization in Catoosa, Oklahoma. Organization record, active in the CMS NPPES registry since December 30, 2025.
## Identity
- **NPI:** 1003772468 (Entity type: Organization)
- **Enumerated:** December 30, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kelly Bailey, OWNER
## Practice location
- **Address:** 650 S CHEROKEE ST, Catoosa, OK 74015-3093
- **Phone:** (918) 645-3331 · **Fax:** (918) 297-8814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003772468) · Data from the CMS NPPES public registry.