Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADULT GASTROENTEROLOGY ASSOCIATES INC
NPI 1306884812
Internal Medicine - Gastroenterology in Tulsa, OK

Active since June 04, 2006
4200 E SKELLY DR STE 700, TULSA, OK 74135(918) 438-7050(918) 221-0835 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Mar 19, 2025, Mar 29, 2016 (3 updates tracked since 2016).

About Adult Gastroenterology Associates Inc NPPES

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

ADULT GASTROENTEROLOGY ASSOCIATES INC (NPI 1306884812) is a healthcare organization registered as a gastroenterology in Tulsa, Oklahoma and active in the NPI registry since June 2006. The organization lists Douglas B Kliewer, Physician, as its authorized official.

NPPES Registry Identity

NPI1306884812
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameADULT GASTROENTEROLOGY ASSOCIATES INC
Location Address4200 E SKELLY DR STE 700Tulsa, OK 74135-3256
Mailing AddressPo Box 305Lowell, AR 72745-0305 · (918) 438-7050 · Fax (918) 221-0835
Fax(918) 221-0835
Organization SubpartNo
Authorized OfficialDouglas B KliewerPhysician · (918) 481-4700
Enumeration DateJune 4, 2006
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1306884812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
4200 E SKELLY DR STE 700, Tulsa, OK 74135

Other Identifiers 1

Medicaid100740890AOK

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)

Adult Gastroenterology Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20050919000387Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Adult Gastroenterology Associates Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Gastroenterology10
Nurse Practitioner6
Internal Medicine2

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1982475927
4200 E SKELLY DR
Tulsa, OK 74135
(918) 438-7050
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1144215971
4200 E SKELLY DR STE 700
Tulsa, OK 74135
(918) 438-7050
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1710543772
4200 E SKELLY DR
Tulsa, OK 74135
(918) 438-7050
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1154611457
4200 E SKELLY DR STE 700
Tulsa, OK 74135
(918) 481-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1649223710
6465 S YALE AVE SUITE 1002
Tulsa, OK 74136
(918) 481-4700
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1770744575
6465 S YALE AVE SUITE 1002
Tulsa, OK 74136
(918) 481-4700
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1407841794
6465 S YALE AVE SUITE 1002
Tulsa, OK 74136
(918) 481-4706
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1124483482
6465 S YALE AVE STE 1002
Tulsa, OK 74136
(918) 438-7035
✔ PECOS✔ Accepts Medicare1.6 mi
Internal Medicine
NPI 1174518906
6465 S YALE AVE SUITE 1002
Tulsa, OK 74136
(918) 481-4706
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1174518336
6465 S YALE AVE SUITE 1002
Tulsa, OK 74136
(918) 481-4700
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1598780660
7307 S YALE AVE STE 102
Tulsa, OK 74136
(918) 221-3470
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1912378050
2488 E 81ST ST STE 2000
Tulsa, OK 74137
(918) 481-4700
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1902248131
1923 S UTICA AVE
Tulsa, OK 74104
(918) 744-3529
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1447735055
1265 S UTICA AVE
Tulsa, OK 74104
(918) 592-0999
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1134273378
10507 E 91ST ST SUITE 270
Tulsa, OK 74133
(918) 307-5480
✔ PECOS✔ Accepts Medicare5.7 mi
Gastroenterology
NPI 1902950165
10507 E 91ST ST 270
Tulsa, OK 74133
(918) 307-5480
✔ PECOS✔ Accepts Medicare5.7 mi
Gastroenterology
NPI 1609896596
10507 E 91ST ST # 270
Tulsa, OK 74133
(918) 307-5480
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1871184911
3077 E COLLEGE AVE
Guthrie, OK 73044
(405) 282-3898
✔ PECOS✔ Accepts Medicare87 mi

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 Adult Gastroenterology Associates Inc's NPI number?

The NPI number for Adult Gastroenterology Associates Inc is 1306884812. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Adult Gastroenterology Associates Inc located?

Adult Gastroenterology Associates Inc is located at 4200 E Skelly Dr Ste 700, Tulsa, OK 74135. The listed phone number is (918) 438-7050.

What is Adult Gastroenterology Associates Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Adult Gastroenterology Associates Inc enrolled in Medicare?

Yes. Adult Gastroenterology Associates Inc is registered in the Medicare PECOS enrollment system.

When is Adult Gastroenterology Associates 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 February 28, 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 Adult Gastroenterology Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Adult Gastroenterology Associates 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 Gastroenterology (10), Nurse Practitioner (6) and Internal Medicine (2). Of these, 3 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Adult Gastroenterology Associates Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Adult Gastroenterology Associates 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 Adult Gastroenterology Associates Inc was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.