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SOUTHERN OKLAHOMA PEDIATRICS INC
NPI 1780705772
Specialist in Ada, OK

Active since April 03, 2007
1214 ARLINGTON ST, ADA, OK 74820(580) 436-2283(580) 436-2291 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Oklahoma Pediatrics Inc NPPES

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

SOUTHERN OKLAHOMA PEDIATRICS INC (NPI 1780705772) is a healthcare organization registered as a specialist in Ada, Oklahoma and active in the NPI registry since April 2007. The organization lists Tawfik Z Ramadan, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1780705772
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN OKLAHOMA PEDIATRICS INC
Location Address1214 ARLINGTON STAda, OK 74820-4045
Mailing Address1214 Arlington StAda, OK 74820-4045 · (580) 436-2283 · Fax (580) 436-2291
Phone(580) 436-2283
Fax(580) 436-2291
Organization SubpartNo
Authorized OfficialTawfik Z RamadanPediatrician · (580) 436-2283
Enumeration DateApril 3, 2007
Last NPPES UpdateJanuary 7, 2010
✔ NPI 1780705772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 11462
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1214 ARLINGTON ST, Ada, OK 74820
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Other Identifiers 4

Medicaid100734530 AOK
Medicare UPINE11792OK
Medicare ID-Type Unspecified443728847OK
Medicaid100108060 AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Oklahoma Pediatrics Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20100114000144Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Oklahoma Pediatrics Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tawfik Ramadan, MD
Pediatric Medicine
NPI 1548252299
1214 ARLINGTON ST
Ada, OK 74820
(580) 436-2283
✔ PECOS✔ Accepts MedicareSame address
Suha Ramadan, M.D.
Pediatric Medicine
NPI 1255398269
2836 N KELLY AVE APT 110
Edmond, OK 73003
(312) 515-1356
✔ PECOS78 mi

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

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 Southern Oklahoma Pediatrics Inc's NPI number?

The NPI number for Southern Oklahoma Pediatrics Inc is 1780705772. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Southern Oklahoma Pediatrics Inc located?

Southern Oklahoma Pediatrics Inc is located at 1214 Arlington St, Ada, OK 74820. The listed phone number is (580) 436-2283.

What is Southern Oklahoma Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southern Oklahoma Pediatrics Inc enrolled in Medicare?

Yes. Southern Oklahoma Pediatrics Inc is registered in the Medicare PECOS enrollment system.

When is Southern Oklahoma Pediatrics Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southern Oklahoma Pediatrics Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Southern Oklahoma Pediatrics Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Oklahoma Pediatrics Inc was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.