OKLAHOMA DERMATOLOGY CENTER
NPI 1063289122
Dermatology in Tulsa, OK

Active since December 08, 2023
5555 E 71ST ST STE 7250, TULSA, OK 74136(918) 492-8301 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2023, Dec 8, 2023 (2 updates tracked since 2023).

About Oklahoma Dermatology Center NPPES

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

OKLAHOMA DERMATOLOGY CENTER (NPI 1063289122) is a healthcare organization registered as a dermatology in Tulsa, Oklahoma and active in the NPI registry since December 2023. The organization lists Katy Erin Trotter, Sole Member/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063289122
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKCT HEALTH CARE PLLC
Location Address5555 E 71ST ST STE 7250Tulsa, OK 74136-6554
Mailing Address4211 W 84th StTulsa, OK 74132-3032 · (479) 209-6400
Organization SubpartNo
Authorized OfficialKaty Erin TrotterSole Member/nurse Practitioner · (479) 209-6400
Enumeration DateDecember 8, 2023
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1063289122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5555 E 71ST ST STE 7250, Tulsa, OK 74136

Other Names 1

Doing Business AsOklahoma Dermatology Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oklahoma Dermatology Center 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 Oklahoma Dermatology Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1386969467
5555 E 71ST ST STE 7250
Tulsa, OK 74136
(918) 492-4999
✔ PECOS✔ Accepts MedicareSame address

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 Kct Health Care PLLC's NPI number?

The NPI number for Kct Health Care PLLC is 1063289122. It was assigned to this organization in the NPPES registry on December 8, 2023. The provider is doing business as Oklahoma Dermatology Center.

Where is Kct Health Care PLLC located?

Kct Health Care PLLC is located at 5555 E 71st St Ste 7250, Tulsa, OK 74136. The listed phone number is (918) 492-8301.

What is Kct Health Care PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kct Health Care PLLC enrolled in Medicare?

Yes. Kct Health Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kct Health Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kct Health Care PLLC. 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.

What insurance does Kct Health Care PLLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kct Health Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kct Health Care PLLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.