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ROOPESH NAHAR M.D.
NPI 1093058802
Internal Medicine in Tulsa, OK

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment
1145 S UTICA AVE, STE 460, TULSA, OK 74104(918) 579-5749(918) 579-5762 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roopesh Nahar M.d. NPPES

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

ROOPESH NAHAR M.D. (NPI 1093058802) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Texas (R1593) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093058802
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROOPESH NAHARCredential: M.D.
Location Address1145 S UTICA AVE, STE 460Tulsa, OK 74104-4000
Mailing Address1145 S Utica Ave, Ste 460Tulsa, OK 74104-4000 · (918) 579-5749 · Fax (918) 579-5762
Phone(918) 579-5749
Fax(918) 579-5762
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 29, 2013
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1093058802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · R1593✔ Licensed in OK · 29869
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1145 S UTICA AVE, Tulsa, OK 74104
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Other Identifiers 1

Medicaid200571740AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roopesh Nahar M.d. 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.

PECOS PAC ID143511840
PECOS Enrollment IDI20171023002907
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 Reassignments

2

Medicare enrollment records show Roopesh Nahar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthtexas Provider Network
217 mi
Family Medicine
5717 LEGACY DR STE 180
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1124809512 (888) 663-6331
Questcare Hospitalists PLLC
228 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
300 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services60 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
69%186 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims17 services$11.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers20 claims21 services$55.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DAE Y KIM M.D., PH.D
Urology
1145 S UTICA AVE, SUITE 202
TULSA, OK 74104
Tulsa County (918) 579-3130
JARED QUALLS APRN
Nurse Practitioner (Acute Care)
1145 S UTICA AVE, SUITE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
DR. BRENT C MCANULTY M.D.
Hospitalist
1145 S UTICA AVE, STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
BOARD OF REGENTS OF THE UNIVERSITY OF OKLHOAMA OU PHYSICIANS TULSA
Urology
1145 S UTICA AVE, STE 202
TULSA, OK 74104
Tulsa County (918) 579-3130
SCOTT ROBISONS RX INC
Pharmacy (Community/Retail Pharmacy)
1145 S UTICA AVE, STE 18
TULSA, OK 74104
Tulsa County (918) 582-7144
MRS. ROSE MARIE MARTINO OTR/L
Occupational Therapist
1145 S UTICA AVE, SUITE 262
TULSA, OK 74104
Tulsa County (918) 579-3035
MELANIE K PHILLIPS MD
Emergency Medicine
1145 S UTICA AVE, TULSA
TULSA, OK 74104
Tulsa County (918) 579-2367
JANET ELIZABETH CHEEK DO
Hospitalist
1145 S UTICA AVE, STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749

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 Roopesh Nahar's NPI number?

The NPI number for Roopesh Nahar is 1093058802. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Roopesh Nahar located?

Roopesh Nahar practices at 1145 S Utica Ave Ste 460, Tulsa, OK 74104. The listed phone number is (918) 579-5749.

What is Roopesh Nahar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roopesh Nahar enrolled in Medicare?

Yes. Roopesh Nahar 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.

Which organizations bill Medicare for Roopesh Nahar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roopesh Nahar reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Plano, TX) and Questcare Hospitalists PLLC (Dallas, TX). Each 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 Roopesh Nahar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roopesh Nahar accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Roopesh Nahar 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.

Is Roopesh Nahar affiliated with any hospitals?

According to CMS data, Roopesh Nahar is affiliated with Medical Center Of Mckinney and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Roopesh Nahar was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.