JOINT RECONSTRUCTIVE SPECIALIST
NPI 1629187596
Orthopaedic Surgery in Oklahoma City, OK
About Joint Reconstructive Specialist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOINT RECONSTRUCTIVE SPECIALIST (NPI 1629187596) is a healthcare organization registered as an orthopaedic surgery in Oklahoma City, Oklahoma and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Paul D Maitino, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
Joint Reconstructive Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Joint Reconstructive Specialist, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 37D2096023
Joint Reconstructive Specialist · Oklahoma City, OKFrequently 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 Joint Reconstructive Specialist's NPI number?
The NPI number for Joint Reconstructive Specialist is 1629187596. It was assigned to this organization in the NPPES registry on August 30, 2006.
Where is Joint Reconstructive Specialist located?
Joint Reconstructive Specialist is located at 3110 SW 89th St Ste 200 D, Oklahoma City, OK 73159. The listed phone number is (405) 680-5633.
What is Joint Reconstructive Specialist's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Joint Reconstructive Specialist enrolled in Medicare?
Yes. Joint Reconstructive Specialist is registered in the Medicare PECOS enrollment system.
When is Joint Reconstructive Specialist'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 January 31, 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 Joint Reconstructive Specialist?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Joint Reconstructive Specialist, in Nurse Practitioner and Orthopedic Surgery. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Joint Reconstructive Specialist hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2096023) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Joint Reconstructive Specialist accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Joint Reconstructive Specialist 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 Joint Reconstructive Specialist was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Joint Reconstructive Specialist · NPI 1629187596
Orthopaedic Surgery organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1629187596 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Paul Maitino, PRESIDENT
## Practice location
- **Address:** 3110 SW 89TH ST, STE 200 D, Oklahoma City, OK 73159-7920
- **Phone:** (405) 680-5633 · **Fax:** (405) 735-6435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Orthopedic Surgery (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2013
- **Other identifiers:** Medicaid 200075360A (OK); Other 200038126 (OK); Medicare PIN 400522450 (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629187596) · Data from the CMS NPPES public registry.