REVELATION MEDICAL OF TULSA LLC
NPI 1366194110
Anesthesiology - Pain Medicine in Tulsa, OK
About Revelation Medical Of Tulsa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVELATION MEDICAL OF TULSA LLC (NPI 1366194110) is a healthcare organization registered as a pain medicine in Tulsa, Oklahoma and active in the NPI registry since January 2022. The organization lists James Warren Linn, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Revelation Medical Of Tulsa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Revelation Medical Of Tulsa LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Revelation Medical Of Tulsa LLC's NPI number?
The NPI number for Revelation Medical Of Tulsa LLC is 1366194110. It was assigned to this organization in the NPPES registry on January 24, 2022.
Where is Revelation Medical Of Tulsa LLC located?
Revelation Medical Of Tulsa LLC is located at 4636 S Harvard Ave Ste 104, Tulsa, OK 74135. The listed phone number is (918) 742-4005.
What is Revelation Medical Of Tulsa LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Revelation Medical Of Tulsa LLC enrolled in Medicare?
Yes. Revelation Medical Of Tulsa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revelation Medical Of Tulsa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Revelation Medical Of Tulsa 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 (5), Anesthesiology (2) and Physical Therapist in Private Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Revelation Medical Of Tulsa LLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Revelation Medical Of Tulsa 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 Revelation Medical Of Tulsa LLC was last updated on October 3, 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.
# Revelation Medical Of Tulsa Llc · NPI 1366194110
Pain Medicine organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since January 24, 2022.
## Identity
- **NPI:** 1366194110 (Entity type: Organization)
- **Enumerated:** January 24, 2022
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** James Linn, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 4636 S HARVARD AVE STE 104, Tulsa, OK 74135-2908
- **Phone:** (918) 742-4005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Anesthesiology (2), Physical Therapist in Private Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366194110) · Data from the CMS NPPES public registry.