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VINEYARD MEDICAL CARE, LLC
NPI 1699668426
Family Medicine in Tulsa, OK

Active since May 30, 2025CLIA 37D2178326 · Waiver
11917 S NORWOOD AVE, TULSA, OK 74137(918) 392-5555(918) 392-5566 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2025, May 30, 2025 (2 updates tracked since 2025).

About Vineyard Medical Care, Llc NPPES

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

VINEYARD MEDICAL CARE, LLC (NPI 1699668426), doing business as Vineyard Medical Care, is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Kyra Jean Vineyard, Owner, as its authorized official.

NPPES Registry Identity

NPI1699668426
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVINEYARD MEDICAL CARE, LLC
Location Address11917 S NORWOOD AVETulsa, OK 74137-5509
Mailing Address11917 S Norwood Ave # 212Tulsa, OK 74137-5509 · (918) 392-5555 · Fax (918) 392-5566
Phone(918) 392-5555
Fax(918) 392-5566
Organization SubpartNo
Authorized OfficialKyra Jean VineyardOwner · (918) 392-5555
Enumeration DateMay 30, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1699668426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
11917 S NORWOOD AVE, Tulsa, OK 74137
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Other Names 1

Former Legal Business NameVineyard Medical Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vineyard Medical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vineyard Medical Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyra Vineyard, DO
Family Practice
NPI 1225005895
11917 S. NORWOOD AVE
Tulsa, OK 74137
(918) 392-5555
✔ PECOS✔ Accepts MedicareSame address

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 37D2178326

Vineyard Medical Care, LLC · Tulsa, OK
Active · expires Jan 29, 2028
CLIA Number37D2178326
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorKyra J. Vineyard
Laboratory Phone(918) 392-5555
Laboratory LocationVineyard Medical Care, LLC11917 S Norwood Ave, Ste 212, Tulsa, OK 74137
CLIA data matches this NPI record on: Address 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 Vineyard Medical Care, LLC's NPI number?

The NPI number for Vineyard Medical Care, LLC is 1699668426. It was assigned to this organization in the NPPES registry on May 30, 2025. The provider was formerly known as Vineyard Medical Care.

Where is Vineyard Medical Care, LLC located?

Vineyard Medical Care, LLC is located at 11917 S Norwood Ave, Tulsa, OK 74137. The listed phone number is (918) 392-5555.

What is Vineyard Medical Care, LLC's specialty?

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

Is Vineyard Medical Care, LLC enrolled in Medicare?

Yes. Vineyard Medical Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vineyard Medical Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vineyard Medical Care, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vineyard Medical Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2178326) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vineyard Medical Care, LLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.