MICHAEL KLOSE PA-C
NPI 1053717975
Physician Assistant - Medical in Oklahoma City, OK
About Michael Klose Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL KLOSE PA-C (NPI 1053717975) is an individual medical provider in Oklahoma City, Oklahoma and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Yukon, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael Klose Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
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 Michael Klose's NPI number?
The NPI number for Michael Klose is 1053717975. It was assigned to this individual provider in the NPPES registry on November 5, 2014.
Where is Michael Klose located?
Michael Klose practices at 921 NE 13th St, Oklahoma City, OK 73104. The listed phone number is (405) 456-1000.
What is Michael Klose's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Michael Klose enrolled in Medicare?
Yes. Michael Klose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Michael Klose was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Michael Klose, PA-C · NPI 1053717975
Medical physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since November 5, 2014.
## Identity
- **NPI:** 1053717975 (Entity type: Individual)
- **Enumerated:** November 5, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 921 NE 13TH ST, Oklahoma City, OK 73104-5007
- **Phone:** (405) 456-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053717975) · Data from the CMS NPPES public registry.