CRESCENT INFECTIOUS DISEASES PLLC
NPI 1538501028
Internal Medicine - Infectious Disease in Oklahoma City, OK

Active since July 24, 2013CLIA 37D2345178 · Waiver
1111 N LEE AVE STE 249, OKLAHOMA CITY, OK 73103(888) 219-9988(405) 594-5847 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crescent Infectious Diseases Pllc NPPES

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

CRESCENT INFECTIOUS DISEASES PLLC (NPI 1538501028) is a healthcare organization registered as an infectious disease in Oklahoma City, Oklahoma and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through June 4, 2028, maintains a secondary practice location in Norman, and lists Heather Harris, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1538501028
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameCRESCENT INFECTIOUS DISEASES PLLC
Location Address1111 N LEE AVE STE 249Oklahoma City, OK 73103-2600
Mailing Address1111 N Lee Ave Ste 249Oklahoma City, OK 73103-2600 · (888) 219-9988 · Fax (405) 594-5847
Fax(405) 594-5847
Organization SubpartNo
Authorized OfficialHeather HarrisOperations Manager · (888) 219-9988
Enumeration DateJuly 24, 2013
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1538501028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OK · 29704
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1111 N LEE AVE STE 249, Oklahoma City, OK 73103

Secondary Practice Location 1

Location 1129 Ed Noble PkwyNorman, OK 73072-4800 · Phone (888) 219-9988 · Fax (405) 594-5847

Other Identifiers 1

Other29704OK · License

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)

Crescent Infectious Diseases Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Crescent Infectious Diseases PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Infectious Disease4
Nurse Practitioner3
Certified Clinical Nurse Specialist (CNS)2
Internal Medicine2

Clinicians, nearest first (11)

Infectious Disease
NPI 1558507962
1111 N LEE AVE # 249
Oklahoma City, OK 73103
(405) 376-9544
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1871729517
1111 N LEE AVE STE 249
Oklahoma City, OK 73103
(405) 594-5848
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1013017292
1111 N LEE AVE STE 249
Oklahoma City, OK 73103
(405) 594-5848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821627167
105 S BRYANT AVE STE 101
Edmond, OK 73034
(405) 823-0094
✔ PECOS✔ Accepts Medicare13 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1598434714
105 S BRYANT AVE STE 101
Edmond, OK 73034
(405) 622-3063
✔ PECOS13 mi
Nurse Practitioner
NPI 1215778501
3300 HEALTHPLEX PKWY
Norman, OK 73072
(405) 515-1000
✔ PECOS✔ Accepts Medicare15 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1447543764
3500 HEALTHPLEX PKWY SUITE 200
Norman, OK 73072
(405) 515-2222
✔ PECOS15 mi
Nurse Practitioner
NPI 1588295836
1125 N PORTER AVE STE 301
Norman, OK 73071
(405) 503-0366
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1013146398
1011 14TH AVE NW
Ardmore, OK 73401
(940) 642-8769
✔ PECOS✔ Accepts Medicare92 mi
Infectious Disease
NPI 1023292976
1919 S WHEELING AVE # LL
Tulsa, OK 74104
(918) 748-7665
✔ PECOS✔ Accepts Medicare99 mi
Internal Medicine
NPI 1629424874
DOGWOOD AVENUE CARL A. JONES HALL, VA BUILDING 1,
Mountain Home, TN 37684
(423) 439-6283
✔ PECOS✔ Accepts Medicare844 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2345178

Crescent Infectious Diseases PLLC · Oklahoma City, OK
Active · expires Jun 4, 2028
CLIA Number37D2345178
Laboratory TypePractitioner Other
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorSarah Goodson
Laboratory Phone(405) 594-5848
Laboratory LocationCrescent Infectious Diseases PLLC1111 N Lee Ave, Ste 249, Oklahoma City, OK 73103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Crescent Infectious Diseases PLLC's NPI number?

The NPI number for Crescent Infectious Diseases PLLC is 1538501028. It was assigned to this organization in the NPPES registry on July 24, 2013.

Where is Crescent Infectious Diseases PLLC located?

Crescent Infectious Diseases PLLC is located at 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103. The listed phone number is (888) 219-9988.

What is Crescent Infectious Diseases PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Crescent Infectious Diseases PLLC enrolled in Medicare?

Yes. Crescent Infectious Diseases PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crescent Infectious Diseases PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Crescent Infectious Diseases 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. The largest specialties are Infectious Disease (4), Nurse Practitioner (3) and Certified Clinical Nurse Specialist (CNS) (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crescent Infectious Diseases PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2345178) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crescent Infectious Diseases PLLC 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 Crescent Infectious Diseases PLLC 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 Crescent Infectious Diseases PLLC was last updated on September 22, 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.