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MIDTOWN PEDIATRICS, PLLC
NPI 1669016168
Clinic/Center - Primary Care in Tulsa, OK

Active since October 29, 2019CLIA 37D2174847 · Waiver
1145 S UTICA AVE STE 403, TULSA, OK 74104(918) 960-2006 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2022, Dec 29, 2021, Oct 29, 2019 (3 updates tracked since 2019).

About Midtown Pediatrics, Pllc NPPES

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

MIDTOWN PEDIATRICS, PLLC (NPI 1669016168) is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Charity Pollak, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1669016168
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMIDTOWN PEDIATRICS, PLLC
Location Address1145 S UTICA AVE STE 403Tulsa, OK 74104-4015
Mailing Address1145 S Utica Ave Ste 403Tulsa, OK 74104-4015 · (918) 960-2006
Phone(918) 960-2006
Organization SubpartNo
Authorized OfficialCharity PollakMd/owner · (918) 960-2006
Enumeration DateOctober 29, 2019
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1669016168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1145 S UTICA AVE STE 403, Tulsa, OK 74104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 37D2174847

Midtown Pediatrics · Tulsa, OK
Active · expires Nov 7, 2027
CLIA Number37D2174847
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorCharity A. Pollak
Laboratory Phone(918) 960-2006
Laboratory LocationMidtown Pediatrics1145 S Utica Ave, Ste 403, Tulsa, OK 74104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR ASHOK KACHE MD INC
Physical Medicine & Rehabilitation
1145 S UTICA AVE STE 403
TULSA, OK 74104
Tulsa County (918) 584-3548
DR. CHARITY ANN POLLAK M.D.
Pediatrics
1145 S UTICA AVE STE 403
TULSA, OK 74104
Tulsa County (918) 960-2006

Frequently Asked Questions

What is MIDTOWN PEDIATRICS, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1669016168, enumerated as an "organization" on October 29, 2019.

Where is the provider located?

The provider is located at 1145 S UTICA AVE STE 403 TULSA, OK 74104 and the phone number is (918) 960-2006.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does MIDTOWN PEDIATRICS, PLLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.