OKLAHOMA KIDNEY CARE
NPI 1336270743
Internal Medicine - Nephrology in Oklahoma City, OK

Active since March 08, 2007CLIA 37D0920249 · Microscopy
13901 MCAULEY BLVD, 303, OKLAHOMA CITY, OK 73134(405) 748-5800(405) 748-5806 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2025, Sep 21, 2018, Dec 15, 2016 (3 updates tracked since 2016).

About Oklahoma Kidney Care NPPES

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

OKLAHOMA KIDNEY CARE (NPI 1336270743) is a healthcare organization registered as a nephrology in Oklahoma City, Oklahoma and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 25, 2026 and lists Ra T Medipalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1336270743
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameOKLAHOMA KIDNEY CARE PC
Location Address13901 MCAULEY BLVD, 303Oklahoma City, OK 73134-8700
Mailing Address13901 Mcauley Blvd, 303Oklahoma City, OK 73134-8700 · (405) 748-5800
Fax(405) 748-5806
Organization SubpartNo
Authorized OfficialRa T MedipalliOwner · (405) 748-5800
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1336270743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OK · 12390
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
13901 MCAULEY BLVD, Oklahoma City, OK 73134

Other Names 1

Doing Business AsOklahoma Kidney Care

Other Identifiers 1

Medicaid100136130AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 37D0920249

Oklahoma Kidney Care, PC · Oklahoma City, OK
Active · expires Sep 25, 2026
CLIA Number37D0920249
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorKaalin T. Marveldt
Laboratory Phone(405) 748-5800
Laboratory LocationOklahoma Kidney Care, PC13901 Mcauley Blvd, Suite 303, Oklahoma City, OK 73134
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Internal Medicine (Nephrology)
13901 MCAULEY BLVD, SUITE 100
OKLAHOMA CITY, OK 73134
Pediatrics
13901 MCAULEY BLVD, SUITE 220
OKLAHOMA CITY, OK 73134
Pediatrics
13901 MCAULEY BLVD, SUITE 220
OKLAHOMA CITY, OK 73134
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
13901 MCAULEY BLVD
OKLAHOMA CITY, OK 73134
Internal Medicine (Nephrology)
13901 MCAULEY BLVD, SUITE 303
OKLAHOMA CITY, OK 73134

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 Oklahoma Kidney Care PC's NPI number?

The NPI number for Oklahoma Kidney Care PC is 1336270743. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Oklahoma Kidney Care.

Where is Oklahoma Kidney Care PC located?

Oklahoma Kidney Care PC is located at 13901 Mcauley Blvd 303, Oklahoma City, OK 73134. The listed phone number is (405) 748-5800.

What is Oklahoma Kidney Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Oklahoma Kidney Care PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0920249) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oklahoma Kidney Care PC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.