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DIANA TAMBOLI MD LLC
NPI 1164057543
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Oklahoma City, OK

Active since March 06, 2020
7316 N WESTERN AVE, OKLAHOMA CITY, OK 73116(405) 408-4064(405) 936-0561 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Sep 16, 2022, Mar 6, 2020 (3 updates tracked since 2020).

About Diana Tamboli Md Llc NPPES

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

DIANA TAMBOLI MD LLC (NPI 1164057543) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Oklahoma City, Oklahoma and active in the NPI registry since March 2020. The organization maintains 2 additional practice locations and lists Diana Tamboli, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164057543
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameDIANA TAMBOLI MD LLC
Location Address7316 N WESTERN AVEOklahoma City, OK 73116-7120
Mailing Address7316 N Western AveOklahoma City, OK 73116-7120 · (405) 408-4064 · Fax (405) 936-0561
Phone(405) 408-4064
Fax(405) 936-0561
Organization SubpartNo
Authorized OfficialDiana TamboliOwner/authorized Official · (615) 300-3857
Enumeration DateMarch 6, 2020
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1164057543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
7316 N WESTERN AVE, Oklahoma City, OK 73116
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Secondary Practice Locations 2

Location 19821 S May AveOklahoma City, OK 73159-7042 · Phone (405) 708-7876
Location 216315 N May AveEdmond, OK 73013-8892 · Phone (405) 521-0041 · Fax (405) 936-0561

Other Identifiers 1

Medicaid200653870AOK

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Tamboli Md Llc 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 Diana Tamboli MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diana Tamboli, M.D.
Ophthalmology
NPI 1346534146
9821 S MAY AVE # C
Oklahoma City, OK 73159
(405) 708-7876
✔ PECOS✔ Accepts Medicare12 mi

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 Diana Tamboli MD LLC's NPI number?

The NPI number for Diana Tamboli MD LLC is 1164057543. It was assigned to this organization in the NPPES registry on March 6, 2020.

Where is Diana Tamboli MD LLC located?

Diana Tamboli MD LLC is located at 7316 N Western Ave, Oklahoma City, OK 73116. The listed phone number is (405) 408-4064.

What is Diana Tamboli MD LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Diana Tamboli MD LLC enrolled in Medicare?

Yes. Diana Tamboli MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diana Tamboli MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Diana Tamboli MD 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diana Tamboli MD LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.