KIM MAKI
NPI 1790419117
Physician Assistant in Tulsa, OK

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
4802 S 109TH EAST AVE, TULSA, OK 74146(918) 392-1400 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, Jul 12, 2022 (2 updates tracked since 2022).

About Kim Maki NPPES

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

KIM MAKI (NPI 1790419117) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5464) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790419117
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIM MAKI
Location Address4802 S 109TH EAST AVETulsa, OK 74146-5822
Mailing Address4802 S 109th East AveTulsa, OK 74146-5822 · (918) 810-9308
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 12, 2022
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1790419117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 5464
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4802 S 109TH EAST AVE, Tulsa, OK 74146

Accepted 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

Kim Maki 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 ID7214465954
PECOS Enrollment IDI20250109000988
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

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Orthopaedic Surgery (Foot and Ankle Surgery)
4802 S 109TH EAST AVE
TULSA, OK 74146
Nurse Practitioner (Acute Care)
4802 S 109TH EAST AVE
TULSA, OK 74146
Physician Assistant
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery (Orthopaedic Trauma)
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4802 S 109TH EAST AVE
TULSA, OK 74146
Physician Assistant
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery
4802 S 109TH EAST AVE
TULSA, OK 74146
Physical Therapist (Orthopedic)
4802 S 109TH EAST AVE
TULSA, OK 74146

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 Kim Maki's NPI number?

The NPI number for Kim Maki is 1790419117. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Kim Maki located?

Kim Maki practices at 4802 S 109th East Ave, Tulsa, OK 74146. The listed phone number is (918) 392-1400.

What is Kim Maki's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kim Maki enrolled in Medicare?

Yes. Kim Maki 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 Kim Maki accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Kim Maki 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 Kim Maki affiliated with any hospitals?

According to CMS data, Kim Maki is affiliated with Saint Francis Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Kim Maki was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.