NEWBORN SPECIALISTS OF TULSA, P.C.
NPI 1497793335
Pediatrics - Neonatal-Perinatal Medicine in Tulsa, OK

Active since June 03, 2006
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104(918) 579-5402(918) 579-5404 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Newborn Specialists Of Tulsa, P.c. NPPES

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

NEWBORN SPECIALISTS OF TULSA, P.C. (NPI 1497793335) is a healthcare organization registered as a neonatal-perinatal medicine in Tulsa, Oklahoma and active in the NPI registry since June 2006. The organization lists Rose Wyrick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497793335
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameNEWBORN SPECIALISTS OF TULSA, P.C.
Location Address1120 S UTICA AVE, SUITE 2123Tulsa, OK 74104-4012
Mailing Address1120 S Utica Ave, Suite 2123Tulsa, OK 74104-4012 · (918) 579-5402 · Fax (918) 579-5404
Fax(918) 579-5404
Organization SubpartNo
Authorized OfficialRose WyrickOffice Manager · (918) 579-5402
Enumeration DateJune 3, 2006
Last NPPES UpdateNovember 16, 2011
✔ NPI 1497793335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1120 S UTICA AVE, Tulsa, OK 74104

Other Identifiers 5

Other=========001OK · Blue Cross
Medicaid154786002AR
Medicaid100748110AOK
Medicaid160476101TX
Medicaid500871405MO

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newborn Specialists Of Tulsa, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20070314000219Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Newborn Specialists Of Tulsa, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Pediatric Medicine
NPI 1184629487
1120 S UTICA AVE STE 2123
Tulsa, OK 74104
(918) 579-5402
✔ PECOSSame address
Pediatric Medicine
NPI 1972750628
1120 S UTICA AVE SUITE 2123
Tulsa, OK 74104
(918) 579-5402
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1760764229
1120 S UTICA AVE STE 2123
Tulsa, OK 74104
(918) 579-5402
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1073597175
1120 S UTICA AVE SUITE 2123
Tulsa, OK 74104
(918) 579-5402
✔ 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 Newborn Specialists Of Tulsa, P.C.'s NPI number?

The NPI number for Newborn Specialists Of Tulsa, P.C. is 1497793335. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Newborn Specialists Of Tulsa, P.C. located?

Newborn Specialists Of Tulsa, P.C. is located at 1120 S Utica Ave Suite 2123, Tulsa, OK 74104. The listed phone number is (918) 579-5402.

What is Newborn Specialists Of Tulsa, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Newborn Specialists Of Tulsa, P.C. enrolled in Medicare?

Yes. Newborn Specialists Of Tulsa, P.C. is registered in the Medicare PECOS enrollment system.

When is Newborn Specialists Of Tulsa, P.C.'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 February 28, 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 Newborn Specialists Of Tulsa, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Newborn Specialists Of Tulsa, P.C.. 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. Of these, 1 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 Newborn Specialists Of Tulsa, P.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Newborn Specialists Of Tulsa, P.C. 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 Newborn Specialists Of Tulsa, P.C. was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.