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

EBENEZERTELEHEALTH LLC
NPI 1427994334
General Practice in Bethany, OK

Active since April 24, 2026
7415 NW 23RD ST, BETHANY, OK 73008(405) 349-8188(718) 640-2713 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Oct 9, 2026, Jul 24, 2026 and 1 more (4 updates tracked since 2026).

About Ebenezertelehealth Llc NPPES

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

EBENEZERTELEHEALTH LLC (NPI 1427994334) is a healthcare organization registered as a general practice in Bethany, Oklahoma and active in the NPI registry since April 2026. The organization maintains a secondary practice location in Oklahoma City and lists Susan George, Owner, as its authorized official.

NPPES Registry Identity

NPI1427994334
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEBENEZERTELEHEALTH LLC
Location Address7415 NW 23RD STBethany, OK 73008-5135
Mailing Address5625 Nw 130th StOklahoma City, OK 73142-6085 · (405) 501-6154 · Fax (718) 640-2713
Phone(405) 349-8188
Fax(718) 640-2713
Organization SubpartNo
Authorized OfficialSusan GeorgeOwner · (405) 447-0300
Enumeration DateApril 24, 2026
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1427994334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7415 NW 23RD ST, Bethany, OK 73008
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Secondary Practice Location 1

Location 15625 NW 130th StOklahoma City, OK 73142-6085 · Phone (405) 349-8188 · Fax (718) 640-2713

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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)

Ebenezertelehealth Llc 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 Ebenezertelehealth LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan George, NP
Nurse Practitioner
NPI 1144761073
7415 NW 23RD ST
Bethany, OK 73008
(405) 349-8188
✔ 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.

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 Ebenezertelehealth LLC's NPI number?

The NPI number for Ebenezertelehealth LLC is 1427994334. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Ebenezertelehealth LLC located?

Ebenezertelehealth LLC is located at 7415 NW 23rd St, Bethany, OK 73008. The listed phone number is (405) 349-8188.

What is Ebenezertelehealth LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ebenezertelehealth LLC enrolled in Medicare?

Yes. Ebenezertelehealth LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ebenezertelehealth LLC?

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

What insurance does Ebenezertelehealth LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Ebenezertelehealth 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 Ebenezertelehealth LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.