EASTERN OKLAHOMA EAR, NOSE & THROAT INC
NPI 1205052149
Otolaryngology - Sleep Medicine in Tulsa, OK
About Eastern Oklahoma Ear, Nose & Throat Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN OKLAHOMA EAR, NOSE & THROAT INC (NPI 1205052149) is a healthcare organization registered as a sleep medicine in Tulsa, Oklahoma and active in the NPI registry since April 2007. The organization lists Susan Weatherly, Credentialing Clerk, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Eastern Oklahoma Ear, Nose & Throat 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.
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Eastern Oklahoma Ear, Nose & Throat Inc, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 23Source: 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 Eastern Oklahoma Ear, Nose & Throat Inc's NPI number?
The NPI number for Eastern Oklahoma Ear, Nose & Throat Inc is 1205052149. It was assigned to this organization in the NPPES registry on April 18, 2007.
Where is Eastern Oklahoma Ear, Nose & Throat Inc located?
Eastern Oklahoma Ear, Nose & Throat Inc is located at 5020 E 68th St, Tulsa, OK 74136. The listed phone number is (918) 492-3636.
What is Eastern Oklahoma Ear, Nose & Throat Inc's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.
Is Eastern Oklahoma Ear, Nose & Throat Inc enrolled in Medicare?
Yes. Eastern Oklahoma Ear, Nose & Throat Inc is registered in the Medicare PECOS enrollment system.
When is Eastern Oklahoma Ear, Nose & Throat 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 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 Eastern Oklahoma Ear, Nose & Throat Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Eastern Oklahoma Ear, Nose & Throat 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 Otolaryngology (11), Qualified Audiologist (10) and Nurse Practitioner (2). Of these, 18 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eastern Oklahoma Ear, Nose & Throat Inc accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Eastern Oklahoma Ear, Nose & Throat 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 Eastern Oklahoma Ear, Nose & Throat Inc was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Eastern Oklahoma Ear, Nose & Throat Inc · NPI 1205052149
Sleep Medicine organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1205052149 (Entity type: Organization)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Otolaryngology - Sleep Medicine · taxonomy 207YS0012X
- **Organization subpart:** No
- **Authorized official:** Susan Weatherly, CREDENTIALING CLERK
## Practice location
- **Address:** 5020 E 68TH ST, Tulsa, OK 74136-3307
- **Phone:** (918) 492-3636 · **Fax:** (918) 494-8915
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 23 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (11), Qualified Audiologist (10), Nurse Practitioner (2); 18 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1205052149/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2010
- **Other identifiers:** Medicaid 100805560B (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1205052149) · Data from the CMS NPPES public registry.