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

Q: 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.

Q: 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.

Q: 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 2 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)