TRIAD PEDIATRICS, LLC
NPI 1477290591
Nurse Practitioner - Family in Kingfisher, OK

Active since May 19, 2022
1001 HOSPITAL CIR, KINGFISHER, OK 73750(405) 375-7935 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Feb 19, 2025, Feb 10, 2025 and 5 more (8 updates tracked since 2022).

About Triad Pediatrics, Llc NPPES

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

TRIAD PEDIATRICS, LLC (NPI 1477290591) is a healthcare organization registered as a family in Kingfisher, Oklahoma and active in the NPI registry since May 2022. The organization lists Matt Bintz, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1477290591
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRIAD PEDIATRICS, LLC
Location Address1001 HOSPITAL CIRKingfisher, OK 73750-5002
Mailing Address2703 N 14th StPonca City, OK 74601-1738 · (580) 765-9451
Organization SubpartNo
Authorized OfficialMatt BintzCeo/owner · (580) 765-3055
Enumeration DateMay 19, 2022
Last NPPES UpdateSeptember 2, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1477290591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1001 HOSPITAL CIR, Kingfisher, OK 73750

Other Names 2

Other NameTriad Complete Healthcare A14
Other NameTriad Complete Healthcare Z14

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

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)

Triad Pediatrics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Triad Pediatrics, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1215661376
160 E SW 59TH ST
Mustang, OK 73064
(405) 757-7818
✔ PECOS36 mi
Nurse Practitioner
NPI 1760779557
10740 S MAY AVE STE 113
Oklahoma City, OK 73170
(405) 427-4942
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1053971804
4200 CARRIAGE WAY
Weatherford, OK 73096
(405) 814-1915
✔ PECOS✔ Accepts Medicare50 mi
General Practice
NPI 1376112102
4301 WILSON ST
Lawton, OK 73503
(833) 286-3732
✔ PECOS✔ Accepts Medicare90 mi
Internal Medicine
NPI 1902822802
1211 E LINCOLN RD
Idabel, OK 74745
(580) 286-4300
✔ PECOS✔ Accepts Medicare225 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 Triad Pediatrics, LLC's NPI number?

The NPI number for Triad Pediatrics, LLC is 1477290591. It was assigned to this organization in the NPPES registry on May 19, 2022. The provider is also known as Triad Complete Healthcare A14 and Triad Complete Healthcare Z14.

Where is Triad Pediatrics, LLC located?

Triad Pediatrics, LLC is located at 1001 Hospital Cir, Kingfisher, OK 73750. The listed phone number is (405) 375-7935.

What is Triad Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Triad Pediatrics, LLC enrolled in Medicare?

Yes. Triad Pediatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triad Pediatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Triad Pediatrics, 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 (3), General Practice (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Triad Pediatrics, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Triad Pediatrics, 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 Triad Pediatrics, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.