AHS OKLAHOMA PHYSICIAN GROUP LLC
NPI 1235182775
Family Medicine in Tulsa, OK
About Ahs Oklahoma Physician Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHS OKLAHOMA PHYSICIAN GROUP LLC (NPI 1235182775), doing business as Utica Park Clinic, is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since May 2006. The organization lists Stephen C. Petrovich, Evp General Counsel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ahs Oklahoma Physician Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
338Medicare enrollment records show 338 clinicians reassign Medicare billing to Ahs Oklahoma Physician Group LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 210 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 338Source: 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 Ahs Oklahoma Physician Group LLC's NPI number?
The NPI number for Ahs Oklahoma Physician Group LLC is 1235182775. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Utica Park Clinic.
Where is Ahs Oklahoma Physician Group LLC located?
Ahs Oklahoma Physician Group LLC is located at 1120 S Utica Ave Ste 100, Tulsa, OK 74104. The listed phone number is (918) 579-3826.
What is Ahs Oklahoma Physician Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ahs Oklahoma Physician Group LLC enrolled in Medicare?
Yes. Ahs Oklahoma Physician Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ahs Oklahoma Physician Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 338 clinicians in 36 Medicare specialties reassign their Medicare billing to Ahs Oklahoma Physician Group 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. The largest specialties are Nurse Practitioner (92), Family Practice (63) and Internal Medicine (40). Of these, 4 practice at this address and 210 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ahs Oklahoma Physician Group LLC 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 1 other insurer list Ahs Oklahoma Physician Group LLC 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 Ahs Oklahoma Physician Group LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ahs Oklahoma Physician Group Llc · NPI 1235182775
Family Medicine organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1235182775 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Utica Park Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stephen Petrovich, EVP GENERAL COUNSEL
## Practice location
- **Address:** 1120 S UTICA AVE STE 100, Tulsa, OK 74104-4012
- **Phone:** (918) 579-3826 · **Fax:** (918) 579-1262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 338 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (92), Family Practice (63), Internal Medicine (40); 4 practice at this address and 210 within 10 miles; [full list](https://npiprofile.com/npi/1235182775/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **Other identifiers:** Medicaid 200044160A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1235182775) · Data from the CMS NPPES public registry.