OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, LLC
NPI 1124118773
Specialist in Oklahoma City, OK
About Oklahoma Otolaryngology Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, LLC (NPI 1124118773), doing business as Oklahoma Otolaryngology Associates, Pc, is a healthcare organization registered as a specialist in Oklahoma City, Oklahoma and active in the NPI registry since October 2006. The organization lists Jeremy A Moore, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oklahoma Otolaryngology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Oklahoma Otolaryngology Associates, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (14)
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 Oklahoma Otolaryngology Associates, LLC's NPI number?
The NPI number for Oklahoma Otolaryngology Associates, LLC is 1124118773. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider was formerly known as Oklahoma Otolaryngology Associates, PC.
Where is Oklahoma Otolaryngology Associates, LLC located?
Oklahoma Otolaryngology Associates, LLC is located at 3033 NW 63rd Street 152E, Oklahoma City, OK 73116. The listed phone number is (405) 755-6651.
What is Oklahoma Otolaryngology Associates, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Oklahoma Otolaryngology Associates, LLC enrolled in Medicare?
Yes. Oklahoma Otolaryngology Associates, LLC is registered in the Medicare PECOS enrollment system.
When is Oklahoma Otolaryngology Associates, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Oklahoma Otolaryngology Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Oklahoma Otolaryngology Associates, LLC. 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. The largest specialties are Otolaryngology (13) and Nurse Practitioner (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Oklahoma Otolaryngology Associates, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Oklahoma Otolaryngology Associates, LLC 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 Oklahoma Otolaryngology Associates, LLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Oklahoma Otolaryngology Associates, Llc · NPI 1124118773
Specialist organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1124118773 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Moore, PRESIDENT
## Practice location
- **Address:** 3033 NW 63RD STREET, 152E, Oklahoma City, OK 73116-3634
- **Phone:** (405) 755-6651 · **Fax:** (405) 755-2795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (13), Nurse Practitioner (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124118773) · Data from the CMS NPPES public registry.