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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEMORIAL HEALTH GROUP LLC
NPI 1619664307
Clinic/Center in Tulsa, OK

Active since April 21, 2023
8131 S MEMORIAL DR STE 100, TULSA, OK 74133(918) 200-9944(877) 616-3089 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Mar 26, 2026, Sep 17, 2025 (3 updates tracked since 2025).

About Memorial Health Group Llc NPPES

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

MEMORIAL HEALTH GROUP LLC (NPI 1619664307) is a healthcare organization registered as a clinic/center in Tulsa, Oklahoma and active in the NPI registry since April 2023. The organization maintains 3 additional practice locations and lists Matthew Dyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1619664307
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEMORIAL HEALTH GROUP LLC
Location Address8131 S MEMORIAL DR STE 100Tulsa, OK 74133-4348
Mailing Address8131 S Memorial Dr Ste 100Tulsa, OK 74133-4348 · (918) 200-9944 · Fax (877) 616-3089
Phone(918) 200-9944
Fax(877) 616-3089
Organization SubpartNo
Authorized OfficialMatthew DyerOwner · (918) 808-5629
Enumeration DateApril 21, 2023
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1619664307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
8131 S MEMORIAL DR STE 100, Tulsa, OK 74133
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12408 E 81st St Ste 600Tulsa, OK 74137-4316 · Phone (918) 935-2040 · Fax (918) 935-2049
Location 27214 S Lewis AveTulsa, OK 74136 · Phone (918) 200-9944 · Fax (877) 616-3089
Location 31420 N HASKELL BLVDHASKELL, OK 74436 · Phone (918) 200-9944 · Fax (877) 616-3089

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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)

Memorial Health Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Memorial Health Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Leslie Chan, MD
Pain Management
NPI 1912039850
8131 S MEMORIAL DR STE 100
Tulsa, OK 74133
(918) 200-9944
✔ PECOS✔ Accepts MedicareSame address
April Lopez, FNP-BC
Nurse Practitioner
NPI 1043906167
8131 S MEMORIAL DR STE 100
Tulsa, OK 74133
(918) 200-9944
✔ PECOS✔ Accepts MedicareSame address
Brandon Bailey, DO
Hospitalist
NPI 1104181973
2811 E 15TH ST STE 102
Tulsa, OK 74104
(918) 935-3240
✔ PECOS✔ Accepts Medicare7.5 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 Memorial Health Group LLC's NPI number?

The NPI number for Memorial Health Group LLC is 1619664307. It was assigned to this organization in the NPPES registry on April 21, 2023.

Where is Memorial Health Group LLC located?

Memorial Health Group LLC is located at 8131 S Memorial Dr Ste 100, Tulsa, OK 74133. The listed phone number is (918) 200-9944.

What is Memorial Health Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Memorial Health Group LLC enrolled in Medicare?

Yes. Memorial Health Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Health Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Memorial Health Group LLC, in Hospitalist, Nurse Practitioner and Pain Management. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Memorial Health Group LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Memorial Health Group 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 Memorial Health Group LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.