OKMULGEE PEDIATRICS & FAMILY CARE, L.L.P.
NPI 1336221688
Pediatrics in Okmulgee, OK

Q: What is Okmulgee Pediatrics PC's NPI number?

The NPI number for Okmulgee Pediatrics PC is 1336221688. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Okmulgee Pediatrics & Family Care, L.L.P..

Q: What is Okmulgee Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 19, 2006CLIA 37D0475217 · Waiver

916 E 8TH ST, OKMULGEE, OK 74447(918) 756-8371(918) 758-3437 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 12, 2022, Jul 6, 2022 (2 updates tracked since 2022).

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About Okmulgee Pediatrics & Family Care, L.l.p. NPPES

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

OKMULGEE PEDIATRICS & FAMILY CARE, L.L.P. (NPI 1336221688) is a healthcare organization registered as a pediatrics in Okmulgee, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Karen Renee Wilson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336221688

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameOKMULGEE PEDIATRICS PC

Location Address916 E 8TH STOkmulgee, OK 74447-4724

Mailing Address916 E 8th StOkmulgee, OK 74447-4724 · (918) 756-8371 · Fax (918) 758-3437

Phone(918) 756-8371

Fax(918) 758-3437

Organization SubpartNo

Authorized OfficialKaren Renee WilsonOffice Manager · (918) 756-8371

Enumeration DateOctober 19, 2006

Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2024

✔ NPI 1336221688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X

916 E 8TH ST, Okmulgee, OK 74447

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Other Names 1

Doing Business AsOkmulgee Pediatrics & Family Care, L.l.p.

Other Identifiers 1

Medicaid100708210BOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Okmulgee Pediatrics & Family Care, L.l.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Okmulgee Pediatrics & Family Care, L.L.P., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kiran Paul, D.O

Family Practice

NPI 1225591142

916 E 8TH ST
Okmulgee, OK 74447

(918) 756-8371

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0475217

Okmulgee Pediatrics & Family Care · Okmulgee, OK

Active · expires Jan 4, 2028

CLIA Number37D0475217

Laboratory TypePhysician Office

Certificate Effective DateJanuary 5, 2026

Certificate Expiration DateJanuary 4, 2028

Laboratory DirectorNaila Paul

Laboratory Phone(918) 756-8371

Laboratory LocationOkmulgee Pediatrics & Family Care916 E 8th St, Okmulgee, OK 74447

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Okmulgee Pediatrics PC's NPI number?

The NPI number for Okmulgee Pediatrics PC is 1336221688. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Okmulgee Pediatrics & Family Care, L.L.P..

Where is Okmulgee Pediatrics PC located?

Okmulgee Pediatrics PC is located at 916 E 8th St, Okmulgee, OK 74447. The listed phone number is (918) 756-8371.

What is Okmulgee Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Okmulgee Pediatrics PC enrolled in Medicare?

Yes. Okmulgee Pediatrics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Okmulgee Pediatrics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Okmulgee Pediatrics PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Okmulgee Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0475217) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Okmulgee Pediatrics PC was last updated on January 18, 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.