OMNI MEDICAL GROUP INC
NPI 1174578249
Internal Medicine in Tulsa, OK

Q: What is Omni Medical Group Inc's NPI number?

The NPI number for Omni Medical Group Inc is 1174578249. It was assigned to this organization in the NPPES registry on May 24, 2006.

Q: What is Omni Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 24, 2006

1923 S UTICA AVE, DAVIS TOWER 200, TULSA, OK 74104(918) 744-2345 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2026, Dec 6, 2023 (2 updates tracked since 2023).

On this page

About Omni Medical Group Inc NPPES

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

OMNI MEDICAL GROUP INC (NPI 1174578249) is a healthcare organization registered as an internal medicine in Tulsa, Oklahoma and active in the NPI registry since May 2006. The organization lists Kelly Scruggs, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1174578249

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameOMNI MEDICAL GROUP INC

Location Address1923 S UTICA AVE, DAVIS TOWER 200Tulsa, OK 74104-6520

Mailing Address1923 S Utica Ave, Davis Tower 200Tulsa, OK 74104-6520

Phone(918) 744-2345

Organization SubpartNo

Authorized OfficialKelly ScruggsRevenue Cycle Manager · (580) 678-4243

Enumeration DateMay 24, 2006

Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1174578249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1923 S UTICA AVE, Tulsa, OK 74104

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Other Identifiers 1

Medicaid100740940AOK

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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)

Omni Medical Group Inc 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.

StateEnrollment IDDue date

StateOklahomaEnrollment IDO20040115000897Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

180

Medicare enrollment records show 180 clinicians reassign Medicare billing to Omni Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 111 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner61

Family Practice55

Internal Medicine32

Mental Health Counselor8

Emergency Medicine6

Clinical Social Worker5

Hospitalist4

Pediatric Medicine3

4 other specialties6

Nearest to this location (20)

See all 180

Adam Helm, APRN-FNP

Nurse Practitioner

NPI 1073091062

1923 S UTICA AVE
Tulsa, OK 74104

(918) 744-3528

✔ PECOSSame address

William Hutto, M.D.

Emergency Medicine

NPI 1588678767

1923 S UTICA AVE
Tulsa, OK 74104

(918) 744-3528

✔ PECOS✔ Accepts MedicareSame address

Baptiste Shunatona, M.D.

Family Practice

NPI 1790745578

1923 S. UTICA DT 400
Tulsa, OK 74104

(918) 744-2967

✔ PECOSSame address

Brennon Cox, D.O.

Family Practice

NPI 1073582821

1802 E 19TH ST 400
Tulsa, OK 74104

(918) 748-7644

✔ PECOS✔ Accepts MedicareSame address

Vallory Tramonte, MD

Family Practice

NPI 1790826485

1705 E 19TH ST STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

John Hendrix, M.D.

Internal Medicine

NPI 1750327581

1705 E 19TH ST STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS0.1 mi

Andrea Johns, APRN, CNP

Nurse Practitioner

NPI 1922367101

1705 E 19TH ST SUITE 302
Tulsa, OK 74104

(918) 748-7599

✔ PECOS✔ Accepts Medicare0.1 mi

Lindsey King, MD

Family Practice

NPI 1235367996

1705 E 19TH ST STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

Peggy Krisa, M.D.

Internal Medicine

NPI 1760450993

1705 E 19TH ST STE 706
Tulsa, OK 74104

(918) 748-7824

✔ PECOS0.1 mi

Sidney Lawler, M.D.

Internal Medicine

NPI 1578524260

1705 E 19TH ST 302
Tulsa, OK 74104

(918) 748-7599

✔ PECOS✔ Accepts Medicare0.1 mi

Stephen Mikus, D.O.

Internal Medicine

NPI 1598086050

1705 E 19TH ST STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

James Rooks, M.D.

Hospitalist

NPI 1841269792

1705 E 19TH ST SUITE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

Monica Saenz, DO

Emergency Medicine

NPI 1558309278

1705 E 19TH ST STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

Kelsey Schumacher

Nurse Practitioner

NPI 1245657378

1705 S 19TH ST. STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

Katelynne Yow, APRN-CNP

Nurse Practitioner

NPI 1265854624

1705 E 19TH ST STE 302
Tulsa, OK 74104

(918) 748-7585

✔ PECOS✔ Accepts Medicare0.1 mi

Brian Crotty, D.O.

Family Practice

NPI 1003885583

1919 S WHEELING AVE LL 100
Tulsa, OK 74104

(918) 748-7890

✔ PECOS✔ Accepts Medicare0.1 mi

Herman Gonzalez, DO

Family Practice

NPI 1346779816

1919 S WHEELING AVE, LOWER LEVEL BERNSEN MEDICAL PLAZA SUITE 100
Tulsa, OK 74104

(918) 748-7890

✔ PECOS✔ Accepts Medicare0.1 mi

Natalie Summerlin, FNP

Nurse Practitioner

NPI 1023006343

1919 S WHEELING AVE STE 200
Tulsa, OK 74104

(918) 748-7600

✔ PECOS✔ Accepts Medicare0.1 mi

Candy Watts, APRN, CNS, C-NP

Certified Clinical Nurse Specialist (CNS)

NPI 1841525961

1145 S UTICA AVE STE 1105
Tulsa, OK 74104

(918) 579-5749

✔ PECOS✔ Accepts Medicare0.8 mi

Christopher Lepak, MD

Emergency Medicine

NPI 1952392185

1120 S UTICA AVE
Tulsa, OK 74104

(918) 728-6194

✔ PECOS0.9 mi

See all 180 clinicians

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 Omni Medical Group Inc's NPI number?

The NPI number for Omni Medical Group Inc is 1174578249. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Omni Medical Group Inc located?

Omni Medical Group Inc is located at 1923 S Utica Ave Davis Tower 200, Tulsa, OK 74104. The listed phone number is (918) 744-2345.

What is Omni Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Omni Medical Group Inc enrolled in Medicare?

Yes. Omni Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Omni Medical Group Inc'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 Omni Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 180 clinicians in 12 Medicare specialties reassign their Medicare billing to Omni Medical Group 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 Nurse Practitioner (61), Family Practice (55) and Internal Medicine (32). Of these, 4 practice at this address and 111 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Omni Medical Group Inc accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Omni Medical Group 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 Omni Medical Group Inc was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.