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ADVANCED FAMILY CARE, PLLC
NPI 1104670884
Family Medicine in Tulsa, OK

Active since April 17, 2024
9320 S MINGO RD, TULSA, OK 74133(918) 901-9701(918) 901-9702 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2024, Apr 17, 2024 (2 updates tracked since 2024).

About Advanced Family Care, Pllc NPPES

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

ADVANCED FAMILY CARE, PLLC (NPI 1104670884) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since April 2024. The organization lists Kenneth Reed, Owner, as its authorized official.

NPPES Registry Identity

NPI1104670884
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED FAMILY CARE, PLLC
Location Address9320 S MINGO RDTulsa, OK 74133-5710
Mailing Address9320 S Mingo RdTulsa, OK 74133-5710 · (918) 921-5701 · Fax (918) 901-9702
Phone(918) 901-9701
Fax(918) 901-9702
Organization SubpartNo
Authorized OfficialKenneth ReedOwner · (918) 921-5701
Enumeration DateApril 17, 2024
Last NPPES UpdateMay 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1104670884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
9320 S MINGO RD, Tulsa, OK 74133
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Family Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Family Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lam Nguyen, DO
Interventional Pain Management
NPI 1902082258
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ PECOS✔ Accepts MedicareSame address
Kenneth Reed, MD
Pain Management
NPI 1033315437
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ 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 Advanced Family Care, PLLC's NPI number?

The NPI number for Advanced Family Care, PLLC is 1104670884. It was assigned to this organization in the NPPES registry on April 17, 2024.

Where is Advanced Family Care, PLLC located?

Advanced Family Care, PLLC is located at 9320 S Mingo Rd, Tulsa, OK 74133. The listed phone number is (918) 901-9701.

What is Advanced Family Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Advanced Family Care, PLLC enrolled in Medicare?

Yes. Advanced Family Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Family Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Family Care, PLLC, in Interventional Pain Management and Pain Management. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Family Care, PLLC was last updated on May 18, 2024. 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.