UROLOGIC SPECIALISTS OF OKLAHOMA INC
NPI 1174546162
Urology in Tulsa, OK

Active since July 25, 2006CLIA Certified · 3 labs
10901 E 48TH ST, TULSA, OK 74146(918) 749-8765(918) 392-2155 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2022, Oct 8, 2020 (2 updates tracked since 2020).

About Urologic Specialists Of Oklahoma Inc NPPES

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

UROLOGIC SPECIALISTS OF OKLAHOMA INC (NPI 1174546162) is a healthcare organization registered as an urology in Tulsa, Oklahoma and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Deeann Long, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1174546162
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGIC SPECIALISTS OF OKLAHOMA INC
Location Address10901 E 48TH STTulsa, OK 74146-5830
Mailing Address10901 E 48th StTulsa, OK 74146-5830 · (918) 749-8765 · Fax (918) 392-2155
Fax(918) 392-2155
Organization SubpartNo
Authorized OfficialDeeann LongCredentialing Manager · (918) 749-8765
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1174546162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10901 E 48TH ST, Tulsa, OK 74146

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

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)

Urologic Specialists Of Oklahoma Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20100930004520DME · Physician - UrologyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Urologic Specialists Of Oklahoma Inc, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Urology29
Nurse Practitioner11
Diagnostic Radiology2
Certified Clinical Nurse Specialist (CNS)1
Nuclear Medicine1
Physical Therapist in Private Practice1

Nearest to this location (20)

See all 45
Urology
NPI 1659457455
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1407877970
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1922028828
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1841345709
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346874799
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOSSame address
Urology
NPI 1578583423
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346623980
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1205975224
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1679694822
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972052041
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOSSame address
Urology
NPI 1013983741
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1972764496
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326659368
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1154680056
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558056804
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477904050
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265166318
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1538189527
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1114458270
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1861768103
10901 E 48TH ST
Tulsa, OK 74146
(918) 749-8765
✔ PECOS✔ Accepts MedicareSame address
See all 45 clinicians

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D0473725

Urologic Specialists Of Oklahoma Inc · Tulsa, OK
Active · expires Nov 30, 2027
CLIA Number37D0473725
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorJack Steven Miller
Laboratory Phone(918) 392-2191
Laboratory LocationUrologic Specialists Of Oklahoma Inc10901 E 48th St South, Tulsa, OK 74146
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 37D2042248

Urologic Specialists Of Oklahoma · Tulsa, OK
Active · expires Mar 12, 2027
CLIA Number37D2042248
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorDr. David Kim
Laboratory Phone(918) 392-2191
Laboratory LocationUrologic Specialists Of Oklahoma10901 E 48th Street South 1st Floor, Tulsa, OK 74146
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D2118145

Urologic Specialists · Muskogee, OK
Active · expires Aug 30, 2028
CLIA Number37D2118145
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2026
Certificate Expiration DateAugust 30, 2028
Laboratory DirectorRobert Bruce
Laboratory Phone(918) 749-8765
Laboratory LocationUrologic Specialists4318 W Okmulgee St, Muskogee, OK 74401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Urologic Specialists Of Oklahoma Inc's NPI number?

The NPI number for Urologic Specialists Of Oklahoma Inc is 1174546162. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Urologic Specialists Of Oklahoma Inc located?

Urologic Specialists Of Oklahoma Inc is located at 10901 E 48th St, Tulsa, OK 74146. The listed phone number is (918) 749-8765.

What is Urologic Specialists Of Oklahoma Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urologic Specialists Of Oklahoma Inc enrolled in Medicare?

Yes. Urologic Specialists Of Oklahoma Inc is registered in the Medicare PECOS enrollment system.

When is Urologic Specialists Of Oklahoma Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oklahoma, Physician - Urology) is due for revalidation by March 31, 2027. 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 Urologic Specialists Of Oklahoma Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 6 Medicare specialties reassign their Medicare billing to Urologic Specialists Of Oklahoma Inc. 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 Urology (29), Nurse Practitioner (11) and Diagnostic Radiology (2). Of these, 35 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urologic Specialists Of Oklahoma Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Urologic Specialists Of Oklahoma Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 31 other insurers list Urologic Specialists Of Oklahoma Inc 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 Urologic Specialists Of Oklahoma Inc was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.