AUDREY BYRD DO
NPI 1124780887
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment
2345 SOUTHWEST BLVD, TULSA, OK 74107(918) 960-4146 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Oct 11, 2021 (2 updates tracked since 2021).

About Audrey Byrd Do NPPES

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

AUDREY BYRD DO (NPI 1124780887) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124780887
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUDREY BYRDCredential: DO
Location Address2345 SOUTHWEST BLVDTulsa, OK 74107-2705
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 11, 2021
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1124780887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 8602 (OK)
2345 SOUTHWEST BLVD, Tulsa, OK 74107

Accepted 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

Audrey Byrd Do 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 ID6305318452
PECOS Enrollment IDI20260618004379
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 Audrey Byrd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
102 N DENVER AVE
Tulsa, OK 74103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 42 clinicians in this Medicare group
Skilled Nursing Facility
6620 E 117TH ST S
Bixby, OK 74008
  • Reassigned Medicare billing, Oklahoma enrollment
  • 16 clinicians in this Medicare group

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

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.

Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Clinic/Center (Medical Specialty)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Psychologist (Health Service)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Pharmacist (Ambulatory Care)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Internal Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Clinic/Center
2345 SOUTHWEST BLVD
TULSA, OK 74107

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 Audrey Byrd's NPI number?

The NPI number for Audrey Byrd is 1124780887. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Audrey Byrd located?

Audrey Byrd practices at 2345 Southwest Blvd, Tulsa, OK 74107. The listed phone number is (918) 960-4146.

What is Audrey Byrd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Audrey Byrd enrolled in Medicare?

Yes. Audrey Byrd 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 Audrey Byrd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Byrd reassigns Medicare benefits to 2 organizations: Morton Comprehensive Health Services, Inc (Tulsa, OK) and Arvid Lade MD Plc (Bixby, OK). 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 Audrey Byrd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Byrd accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Audrey Byrd 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 Audrey Byrd was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.