SOUTHERN OKLAHOMA UROLOGY, INC
NPI 1528254109
Clinic/Center - Medical Specialty in Ada, OK

Q: What is Southern Oklahoma Urology, Inc's NPI number?

The NPI number for Southern Oklahoma Urology, Inc is 1528254109. It was assigned to this organization in the NPPES registry on September 18, 2007.

Q: What is Southern Oklahoma Urology, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since September 18, 2007

1414 ARLINGTON ST, SUITE 2300, ADA, OK 74820(580) 332-0112(580) 332-1005 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Southern Oklahoma Urology, Inc NPPES

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

SOUTHERN OKLAHOMA UROLOGY, INC (NPI 1528254109) is a healthcare organization registered as a medical specialty in Ada, Oklahoma and active in the NPI registry since September 2007. The organization lists Glen E Diacon, President, as its authorized official.

NPPES Registry Identity

NPI1528254109

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSOUTHERN OKLAHOMA UROLOGY, INC

Location Address1414 ARLINGTON ST, SUITE 2300Ada, OK 74820-2643

Mailing Address1414 Arlington St, Suite 2300Ada, OK 74820-2643 · (580) 332-0112 · Fax (580) 332-1005

Phone(580) 332-0112

Fax(580) 332-1005

Organization SubpartNo

Authorized OfficialGlen E DiaconPresident · (580) 332-0112

Enumeration DateSeptember 18, 2007

✔ NPI 1528254109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1414 ARLINGTON ST, Ada, OK 74820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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)

Southern Oklahoma Urology, Inc 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 Southern Oklahoma Urology, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glen Diacon, MD

Urology

NPI 1588659957

1414 ARLINGTON ST SUITE 2300
Ada, OK 74820

(580) 332-0112

✔ 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 Southern Oklahoma Urology, Inc's NPI number?

The NPI number for Southern Oklahoma Urology, Inc is 1528254109. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Southern Oklahoma Urology, Inc located?

Southern Oklahoma Urology, Inc is located at 1414 Arlington St Suite 2300, Ada, OK 74820. The listed phone number is (580) 332-0112.

What is Southern Oklahoma Urology, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Southern Oklahoma Urology, Inc enrolled in Medicare?

Yes. Southern Oklahoma Urology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Oklahoma Urology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Southern Oklahoma Urology, Inc. 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 Southern Oklahoma Urology, Inc 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 Southern Oklahoma Urology, Inc 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 Southern Oklahoma Urology, Inc was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.