DIANA L DEFELICE DO
NPI 1649262270
Family Medicine in Owasso, OK

Active since August 19, 2005PECOS Enrolled
13616 E 103RD ST N, STE A, OWASSO, OK 74055(918) 274-8555(918) 274-8556 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diana L Defelice Do NPPES

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

DIANA L DEFELICE DO (NPI 1649262270) is an individual family medicine provider in Owasso, Oklahoma, licensed in Oklahoma (2160) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649262270
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIANA L DEFELICECredential: DO
Location Address13616 E 103RD ST N, STE AOwasso, OK 74055-4586
Mailing Address1717s Utica Ave ATulsa, OK 74104-5346 · (918) 748-1300 · Fax (918) 748-1303
Fax(918) 274-8556
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateOctober 6, 2015
NPI 1649262270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 2160
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13616 E 103RD ST N, Owasso, OK 74055

Other Identifiers 5

Other100768880IOK · Sonicare Medicaid
Medicare ID-Type Unspecified243321001OK
Medicaid100088200BOK
Medicare PINOKAAA2224OK
Medicare UPINE09708

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Diana L Defelice Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13616 E 103RD ST N
OWASSO, OK 74055
Physician Assistant
13616 E 103RD ST N, STE A
OWASSO, OK 74055
Orthopaedic Surgery
13616 E 103RD ST N
OWASSO, OK 74055
Family Medicine
13616 E 103RD ST N, STE A
OWASSO, OK 74055
Nurse Practitioner (Family)
13616 E 103RD ST N
OWASSO, OK 74055
Orthopaedic Surgery
13616 E 103RD ST N
OWASSO, OK 74055
Clinic/Center (Radiology)
13616 E 103RD ST N, SUITE C
OWASSO, OK 74055

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 Diana Defelice's NPI number?

The NPI number for Diana Defelice is 1649262270. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Diana Defelice located?

Diana Defelice practices at 13616 E 103rd St N Ste A, Owasso, OK 74055. The listed phone number is (918) 274-8555.

What is Diana Defelice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diana Defelice enrolled in Medicare?

Yes. Diana Defelice is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Defelice was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.