HYDRO MEDICAL CLINIC PLLC
NPI 1447404868
Family Medicine in Hydro, OK

Active since November 12, 2008
579 N BROADWAY AVE, HYDRO, OK 73048(405) 663-2291(405) 663-2191 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hydro Medical Clinic Pllc NPPES

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

HYDRO MEDICAL CLINIC PLLC (NPI 1447404868) is a healthcare organization registered as a family medicine in Hydro, Oklahoma and active in the NPI registry since November 2008. The organization lists Brenda Ruth Stutzman, Owner, as its authorized official.

NPPES Registry Identity

NPI1447404868
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHYDRO MEDICAL CLINIC PLLC
Location Address579 N BROADWAY AVEHydro, OK 73048-8425
Mailing Address579 N Broadway AveHydro, OK 73048-8425 · (405) 663-2291 · Fax (405) 663-2191
Fax(405) 663-2191
Organization SubpartNo
Authorized OfficialBrenda Ruth StutzmanOwner · (405) 663-2291
Enumeration DateNovember 12, 2008
Last NPPES UpdateApril 14, 2010
✔ NPI 1447404868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 3099
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
579 N BROADWAY AVE, Hydro, OK 73048

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

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)

Hydro Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20100706000518Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hydro Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1700880127
579 N BROADWAY AVE
Hydro, OK 73048
(405) 663-2291
✔ PECOS0.1 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 Hydro Medical Clinic PLLC's NPI number?

The NPI number for Hydro Medical Clinic PLLC is 1447404868. It was assigned to this organization in the NPPES registry on November 12, 2008.

Where is Hydro Medical Clinic PLLC located?

Hydro Medical Clinic PLLC is located at 579 N Broadway Ave, Hydro, OK 73048. The listed phone number is (405) 663-2291.

What is Hydro Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hydro Medical Clinic PLLC enrolled in Medicare?

Yes. Hydro Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

When is Hydro Medical Clinic PLLC'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 January 31, 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 Hydro Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Hydro Medical Clinic PLLC. 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.

When was this NPI record last updated?

The NPPES record for Hydro Medical Clinic PLLC was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.