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DR. KIRAN PAUL D.O
NPI 1225591142
Family Medicine in Okmulgee, OK

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
916 E 8TH ST, OKMULGEE, OK 74447(918) 756-8371(877) 805-3131 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 8, 2024, Aug 17, 2021, Aug 9, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Kiran Paul D.o NPPES

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

DR. KIRAN PAUL D.O (NPI 1225591142) is an individual family medicine provider in Okmulgee, Oklahoma, licensed in Oklahoma (7074) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Muscogee (creek) Nation Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1225591142
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIRAN PAULCredential: D.O
Location Address916 E 8TH STOkmulgee, OK 74447-4724
Mailing Address916 E 8th StOkmulgee, OK 74447-4724 · (918) 756-8371
Phone(918) 756-8371
Fax(877) 805-3131
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateAugust 8, 20245 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1225591142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 7074
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
916 E 8TH ST, Okmulgee, OK 74447
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Dr. Kiran Paul D.o 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 ID7911388665
PECOS Enrollment IDI20220713001168
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 Kiran Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Okmulgee Pediatrics PC
Same address
Pediatrics
916 E 8TH ST
Okmulgee, OK 74447
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1336221688 (918) 756-8371
Creek Nation Hospital & Clinics
23 mi
Family Medicine
1800 E COPLIN ST
Okemah, OK 74859
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
NPI 1467053173 (918) 623-1424

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Muscogee (creek) Nation Medical Center

Acute Care Hospitals · Okmulgee, OK
OwnershipTribal
CMS Certification Number370057
Location1401 Morris DriveOkmulgee, OK 74447 · Okmulgee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OKMULGEE PEDIATRICS PC
Pediatrics
916 E 8TH ST
OKMULGEE, OK 74447
Okmulgee County (918) 756-8371
DR. WILLIAM LOREN HULL OD
Optometrist
916 E 8TH ST
OKMULGEE, OK 74447
Okmulgee County (918) 756-2124
DR. WALTER PRESLEY MEGOWN OD
Optometrist
916 E 8TH ST
OKMULGEE, OK 74447
Okmulgee County (918) 756-2124
WALT P. MEGOWN OD INC.
Optometrist
916 E 8TH ST
OKMULGEE, OK 74447
Okmulgee County (918) 756-2124
OKMULGEE PEDIATRICS
Specialist
916 E 8TH ST
OKMULGEE, OK 74447
Okmulgee County (918) 756-8371

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 Kiran Paul's NPI number?

The NPI number for Kiran Paul is 1225591142. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Kiran Paul located?

Kiran Paul practices at 916 E 8th St, Okmulgee, OK 74447. The listed phone number is (918) 756-8371.

What is Kiran Paul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kiran Paul enrolled in Medicare?

Yes. Kiran Paul 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 Kiran Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Paul reassigns Medicare benefits to 2 organizations: Okmulgee Pediatrics PC (Okmulgee, OK) and Creek Nation Hospital & Clinics (Okemah, 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 Kiran Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiran Paul 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 4 other insurers list Kiran Paul 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.

Is Kiran Paul affiliated with any hospitals?

According to CMS data, Kiran Paul is affiliated with Muscogee (creek) Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Kiran Paul was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.