MPP INFUSION CENTER OF TULSA, LLC
NPI 1639709546
Clinic/Center - Infusion Therapy in Tulsa, OK

Active since January 20, 2020CLIA 37D2238225 · Waiver
8806 S YALE AVE STE B, TULSA, OK 74137(918) 710-2062 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Sep 30, 2021, Jan 20, 2020 (3 updates tracked since 2020).

About Mpp Infusion Center Of Tulsa, Llc NPPES

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

MPP INFUSION CENTER OF TULSA, LLC (NPI 1639709546) is a healthcare organization registered as an infusion therapy in Tulsa, Oklahoma and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through September 30, 2027, maintains a secondary practice location in Tulsa, and lists Sue Ellen Rottura, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1639709546
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameMPP INFUSION CENTER OF TULSA, LLC
Location Address8806 S YALE AVE STE BTulsa, OK 74137-3712
Mailing Address1726 Cole Blvd Ste 250Lakewood, CO 80401-3262 · (720) 465-5030 · Fax (720) 465-5030
Organization SubpartNo
Authorized OfficialSue Ellen RotturaChief Operating Officer · (561) 323-8987
Enumeration DateJanuary 20, 2020
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1639709546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
8806 S YALE AVE STE B, Tulsa, OK 74137

Secondary Practice Location 1

Location 17307 S Yale Ave Ste 101Tulsa, OK 74136-7134 · Phone (720) 465-5030

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Mpp Infusion Center Of Tulsa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20211011002857Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Mpp Infusion Center Of Tulsa, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1699298521
8806 S YALE AVE STE B
Tulsa, OK 74137
(918) 710-2062
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1205854015
7307 S YALE AVE SUITE: 200
Tulsa, OK 74136
(918) 392-4550
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1508519000
7307 S YALE AVE STE 101
Tulsa, OK 74136
(918) 710-2062
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1720476484
3905 S HIGHWAY 97 #B
Sand Springs, OK 74063
(918) 245-7500
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1275924169
8144 WALNUT HILL LN STE 1350
Dallas, TX 75231
(972) 598-0000
✔ PECOS✔ Accepts Medicare223 mi
Nurse Practitioner
NPI 1689299612
2727 W DR MARTIN LUTHER KING JR BLVD STE 100
Tampa, FL 33607
(813) 397-5300
✔ PECOS963 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 37D2238225

Mpp Infusion Center Of Tulsa, LLC · Tulsa, OK
Active · expires Sep 30, 2027
CLIA Number37D2238225
Laboratory TypeInfusion Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorIftkar Hussain
Laboratory Phone(918) 710-2062
Laboratory LocationMpp Infusion Center Of Tulsa, LLC8806 S Yale Blvd, Ste B, Tulsa, OK 74137
CLIA data matches this NPI record on: Name Phone
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 Mpp Infusion Center Of Tulsa, LLC's NPI number?

The NPI number for Mpp Infusion Center Of Tulsa, LLC is 1639709546. It was assigned to this organization in the NPPES registry on January 20, 2020.

Where is Mpp Infusion Center Of Tulsa, LLC located?

Mpp Infusion Center Of Tulsa, LLC is located at 8806 S Yale Ave Ste B, Tulsa, OK 74137. The listed phone number is (918) 710-2062.

What is Mpp Infusion Center Of Tulsa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Mpp Infusion Center Of Tulsa, LLC enrolled in Medicare?

Yes. Mpp Infusion Center Of Tulsa, LLC is registered in the Medicare PECOS enrollment system.

When is Mpp Infusion Center Of Tulsa, LLC'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 October 31, 2026. 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 Mpp Infusion Center Of Tulsa, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Mpp Infusion Center Of Tulsa, LLC. 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 Nurse Practitioner (5) and Allergy/Immunology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mpp Infusion Center Of Tulsa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2238225) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mpp Infusion Center Of Tulsa, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Mpp Infusion Center Of Tulsa, 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 Mpp Infusion Center Of Tulsa, LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.