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AHMAD MISMAR M.D
NPI 1780206730
Internal Medicine in Tulsa, OK

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
1705 E 19TH ST STE 201, TULSA, OK 74104(918) 403-7100(918) 403-6404 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Jul 27, 2023, May 14, 2020 (3 updates tracked since 2020).

About Ahmad Mismar M.d NPPES

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

AHMAD MISMAR M.D (NPI 1780206730) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (44868) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1780206730
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAHMAD MISMARCredential: M.D
Location Address1705 E 19TH ST STE 201Tulsa, OK 74104-5404
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (918) 403-7089 · Fax (918) 744-2946
Phone(918) 403-7100
Fax(918) 403-6404
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 13, 2020
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1780206730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 44868
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1705 E 19TH ST STE 201, Tulsa, OK 74104
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Secondary Practice Location 1

Location 1Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer DriveDetroit, MI 48235 · Phone (313) 966-7434 · Fax (313) 966-1738

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ahmad Mismar M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880001635
PECOS Enrollment IDI20250618003849
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

St John Owasso

Acute Care Hospitals · Owasso, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370227
Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ahmad Mismar's NPI number?

The NPI number for Ahmad Mismar is 1780206730. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Ahmad Mismar located?

Ahmad Mismar practices at 1705 E 19th St Ste 201, Tulsa, OK 74104. The listed phone number is (918) 403-7100.

What is Ahmad Mismar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ahmad Mismar enrolled in Medicare?

Yes. Ahmad Mismar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ahmad Mismar accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Ahmad Mismar 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.

Is Ahmad Mismar affiliated with any hospitals?

According to CMS data, Ahmad Mismar is affiliated with Ascension St John Medical Center, St John Owasso and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Ahmad Mismar was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.