THERAS LLC
NPI 1720817786
Clinic/Center - Primary Care in Oklahoma City, OK

Active since July 29, 2024
3421 SW 104TH ST STE 5, OKLAHOMA CITY, OK 73159(405) 237-3383 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2025, Sep 27, 2024, Jul 29, 2024 (3 updates tracked since 2024).

About Theras Llc NPPES

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

THERAS LLC (NPI 1720817786), doing business as Affordable Family Medical, is a healthcare organization registered as a primary care in Oklahoma City, Oklahoma and active in the NPI registry since July 2024. The organization lists Ryan H. Bui, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720817786
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHERAS LLC
Location Address3421 SW 104TH ST STE 5Oklahoma City, OK 73159-7065
Mailing Address3421 Sw 104th St Ste 5Oklahoma City, OK 73159-7065
Organization SubpartNo
Authorized OfficialRyan H. BuiCeo · (405) 237-3383
Enumeration DateJuly 29, 2024
Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1720817786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3421 SW 104TH ST STE 5, Oklahoma City, OK 73159

Other Names 1

Doing Business AsAffordable Family Medical

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Theras LLC, 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)

Nurse Practitioner
NPI 1740955665
3421 SW 104TH ST STE 5
Oklahoma City, OK 73159
(405) 237-3383
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1295027647
2636 SW 28TH ST
Oklahoma City, OK 73108
(405) 602-5330
✔ PECOS✔ Accepts Medicare5.1 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 for Provider-Performed Microscopy Procedures (PPMP) 37D2312898

Theras, LLC · Oklahoma City, OK
Expired · Oct 20, 2026
CLIA Number37D2312898
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorRyan H. Bui
Laboratory Phone(405) 237-3383
Laboratory LocationTheras, LLC3421 SW 104th St, Ste 5, Oklahoma City, OK 73159
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Theras LLC's NPI number?

The NPI number for Theras LLC is 1720817786. It was assigned to this organization in the NPPES registry on July 29, 2024. The provider is doing business as Affordable Family Medical.

Where is Theras LLC located?

Theras LLC is located at 3421 SW 104th St Ste 5, Oklahoma City, OK 73159. The listed phone number is (405) 237-3383.

What is Theras LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Theras LLC enrolled in Medicare?

Yes. Theras LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theras LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Theras LLC, in General Practice and Nurse Practitioner. 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.

What insurance does Theras LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Theras 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 Theras LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.