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DR. ANDRE FALLOT MD
NPI 1730158213
Pediatrics - Pediatric Critical Care Medicine in Tulsa, OK

Active since March 16, 2006PECOS Enrolled
6161 S YALE AVE, TULSA, OK 74136(918) 502-6135(918) 502-6137 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andre Fallot Md NPPES

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

DR. ANDRE FALLOT MD (NPI 1730158213) is an individual pediatric critical care medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (40275) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730158213
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ANDRE FALLOTCredential: MD
Location Address6161 S YALE AVETulsa, OK 74136-1902
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
Phone(918) 502-6135
Fax(918) 502-6137
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1730158213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in OK · 40275✔ Licensed in WA · 60051227
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 60051227 (WA)
6161 S YALE AVE, Tulsa, OK 74136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre Fallot Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Andre Fallot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Warren Clinic Inc
0.5 mi
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group
NPI 1174582282 (918) 488-6001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ALEX BRYAN OLSEN M.D.
Surgery (Surgical Critical Care)
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1805
HOI Y CHAN MD
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-6161
PAMELA THACKER KANTNER RPT
Physical Therapist
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1471
MRS. TRINA M VANNATTA PTA
Physical Therapy Assistant
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1471
SAINT FRANCIS HOSPITAL, INC.
Rehabilitation Unit
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 502-8000
CARE COMMUNICATIONS LLC
General Acute Care Hospital (Critical Access)
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1805
EMERGENCY MEDICINE PHYSICIANS OF TULSA COUNTY, LLC
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (844) 474-4019
PRASOONKUMAR YENDLURI MD
Hospitalist
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 502-1900

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 Andre Fallot's NPI number?

The NPI number for Andre Fallot is 1730158213. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Andre Fallot located?

Andre Fallot practices at 6161 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 502-6135.

What is Andre Fallot's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Andre Fallot enrolled in Medicare?

Yes. Andre Fallot is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andre Fallot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Fallot reassigns Medicare benefits to Warren Clinic Inc (Tulsa, OK). The 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 Andre Fallot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Fallot accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andre Fallot 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 Andre Fallot was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.