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DONNA J KRUTKA M.D.
NPI 1033216791
Pediatrics - Adolescent Medicine in Tulsa, OK

Active since September 17, 2006PECOS Enrolled
1919 S WHEELING AVE, SUITE 304, TULSA, OK 74104(918) 748-7620(918) 748-7647 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donna J Krutka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONNA J KRUTKA M.D. (NPI 1033216791) is an individual adolescent medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (13334) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033216791
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDONNA J KRUTKACredential: M.D.
Location Address1919 S WHEELING AVE, SUITE 304Tulsa, OK 74104-5638
Mailing Address1919 S. Wheeling Avenue, Suite #304Tulsa, OK 74104 · (918) 749-6782
Phone(918) 748-7620
Fax(918) 748-7647
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1033216791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in OK · 13334
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1919 S WHEELING AVE, Tulsa, OK 74104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna J Krutka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donna Krutka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. John Physicians, Inc.
0.1 mi
Internal Medicine
1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 820 clinicians in this Medicare group
NPI 1336194406 (918) 744-2345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASIE NICOLE BRIM NP
Nurse Practitioner
1919 S WHEELING AVE, SUITE 606
TULSA, OK 74104
Tulsa County (918) 748-7676
BRIAN CROTTY D.O.
Family Medicine
1919 S WHEELING AVE, LL 100
TULSA, OK 74104
Tulsa County (918) 748-7890
JULIE ANN KINZIE L.C.S.W.
Social Worker (Clinical)
1919 S WHEELING AVE, SUITE 204
TULSA, OK 74104
Tulsa County (918) 403-7200
CHARLES ANTHONY HOWARD MD
Surgery
1919 S WHEELING AVE, SUITE 600
TULSA, OK 74104
Tulsa County (918) 744-3523
DR. DIVINA ROMAN M.D.
Internal Medicine (Adolescent Medicine)
1919 S WHEELING AVE, 200
TULSA, OK 74104
Tulsa County (918) 748-7600
DR. JON P COX M.D.
Internal Medicine
1919 S WHEELING AVE, 402
TULSA, OK 74104
Tulsa County (918) 748-7877
DR. KENNETH E WIEMAR M. D.
Specialist
1919 S WHEELING AVE, SUITE 300
TULSA, OK 74104
Tulsa County (918) 748-7570
MRS. AERIAL CHANEL ANTHONY
Physician Assistant
1919 S WHEELING AVE, SUITE 200
TULSA, OK 74104
Tulsa County (918) 748-7600

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 Donna Krutka's NPI number?

The NPI number for Donna Krutka is 1033216791. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Donna Krutka located?

Donna Krutka practices at 1919 S Wheeling Ave Suite 304, Tulsa, OK 74104. The listed phone number is (918) 748-7620.

What is Donna Krutka's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Donna Krutka enrolled in Medicare?

Yes. Donna Krutka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna Krutka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Krutka reassigns Medicare benefits to St. John Physicians, Inc. (Tulsa, OK). The 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 Donna Krutka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donna Krutka was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.