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CARLY ANN DYKSTRA KUBAT M.D.
NPI 1801207493
Pediatrics - Neonatal-Perinatal Medicine in Tulsa, OK

Active since May 16, 2014PECOS Enrolled
6151 S YALE AVE, TULSA, OK 74136(918) 502-6097(918) 502-6046 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2020, May 15, 2020, Jul 6, 2017 (3 updates tracked since 2017).

About Carly Ann Dykstra Kubat M.d. NPPES

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

CARLY ANN DYKSTRA KUBAT M.D. (NPI 1801207493) is an individual neonatal-perinatal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (36089) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801207493
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameCARLY ANN DYKSTRA KUBATCredential: M.D.
Location Address6151 S YALE AVETulsa, OK 74136-1907
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
Phone(918) 502-6097
Fax(918) 502-6046
Sole ProprietorNo
Enumeration DateMay 16, 2014
Last NPPES UpdateAugust 4, 20203 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1801207493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OK · 36089
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
6151 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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Ann Dykstra Kubat M.d. 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 Carly Kubat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Warren Clinic Inc
0.6 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.

ROBERT DEAN OKADA MD
Internal Medicine (Cardiovascular Disease)
6151 S YALE AVE, STE 304
TULSA, OK 74136
Tulsa County (918) 494-5300
MEGAN ELIZABETH RENZ APRN-CNS
Nurse Practitioner
6151 S YALE AVE, SUITE A-100
TULSA, OK 74136
Tulsa County (918) 494-8500
DR. PIRZADA ABDUL MAJID M.D.
Internal Medicine (Cardiovascular Disease)
6151 S YALE AVE, SUITE 400
TULSA, OK 74136
Tulsa County (918) 494-8500
MR. ZED OMAR SEEDAT MD
Internal Medicine (Critical Care Medicine)
6151 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 307-5578
PEDIATRIC CARDIOLOGY OF OKLAHOMA P.L.L.C.
Pediatrics (Pediatric Cardiology)
6151 S YALE AVE, SUITE 2402
TULSA, OK 74136
Tulsa County (918) 481-4600
DR. RAYMOND JOSEPH SANDERS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
6151 S YALE AVE, LEVEL B
TULSA, OK 74136
Tulsa County (918) 502-6044
MR. JOJIN ANGELO MATHEWS PA-C
Physician Assistant
6151 S YALE AVE, SUITE 1-301
TULSA, OK 74136
Tulsa County (918) 502-3200
SANCHIT CHAWLA
Internal Medicine (Critical Care Medicine)
6151 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-8500

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 Carly Kubat's NPI number?

The NPI number for Carly Kubat is 1801207493. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Carly Kubat located?

Carly Kubat practices at 6151 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 502-6097.

What is Carly Kubat's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Carly Kubat enrolled in Medicare?

Yes. Carly Kubat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Kubat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Kubat 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 Carly Kubat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Kubat accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Carly Kubat 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 Carly Kubat was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.