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JOHN PETER CARRADINI MD
NPI 1285262014
Internal Medicine in Tulsa, OK

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
1245 S UTICA AVE STE 301, TULSA, OK 74104(918) 619-4400(918) 619-4152 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2021, Mar 28, 2020 (2 updates tracked since 2020).

About John Peter Carradini Md NPPES

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

JOHN PETER CARRADINI MD (NPI 1285262014) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (35787) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285262014
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN PETER CARRADINICredential: MD
Location Address1245 S UTICA AVE STE 301Tulsa, OK 74104-4214
Mailing Address1120 S Utica Ave Suite 100Tulsa, OK 74104 · (918) 392-0175
Phone(918) 619-4400
Fax(918) 619-4152
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 28, 2020
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1285262014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 35787
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.
1245 S UTICA AVE STE 301, Tulsa, OK 74104
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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 Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Peter Carradini Md 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 ID6800256827
PECOS Enrollment IDI20230721000779
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.

Areas of Expertise CMS Part B claims 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services62 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
38 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
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 3

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

DR. JEFFREY LEE GALLES DO
Internal Medicine
1245 S UTICA AVE STE 301
TULSA, OK 74104
Tulsa County (918) 795-3900
SHAY NICOLE SUROWIAK APRN
Nurse Practitioner (Family)
1245 S UTICA AVE STE 301
TULSA, OK 74104
Tulsa County (918) 795-3900
MARK STREET MD
Internal Medicine
1245 S UTICA AVE STE 301
TULSA, OK 74104
Tulsa County (918) 382-2536

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 John Carradini's NPI number?

The NPI number for John Carradini is 1285262014. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is John Carradini located?

John Carradini practices at 1245 S Utica Ave Ste 301, Tulsa, OK 74104. The listed phone number is (918) 619-4400.

What is John Carradini's specialty?

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

Is John Carradini enrolled in Medicare?

Yes. John Carradini 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.

What insurance does John Carradini accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list John Carradini 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 John Carradini affiliated with any hospitals?

According to CMS data, John Carradini is affiliated with Hillcrest Medical Center, Ascension St John Jane Phillips, Ascension St John Medical Center, Hillcrest Hospital South and Bailey Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for John Carradini was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.