PRATYAKSHA SANKHYAN MD
NPI 1801340104
Internal Medicine - Pulmonary Disease in Tulsa, OK

Q: What is Pratyaksha Sankhyan's NPI number?

The NPI number for Pratyaksha Sankhyan is 1801340104. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Q: What is Pratyaksha Sankhyan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since August 04, 2016PECOS EnrolledAccepts Medicare Assignment

91.24/100

CMS Quality Rating

1725 E 19TH ST STE 200, TULSA, OK 74104(918) 748-8381(918) 403-6328 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Pratyaksha Sankhyan Md NPPES

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

PRATYAKSHA SANKHYAN MD (NPI 1801340104) is an individual pulmonary disease provider in Tulsa, Oklahoma, licensed in Oklahoma (38796) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1801340104

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NamePRATYAKSHA SANKHYANCredential: MD

Location Address1725 E 19TH ST STE 200Tulsa, OK 74104-5419

Mailing Address1725 E 19th St Ste 200Tulsa, OK 74104-5419 · (918) 748-8381 · Fax (918) 403-6328

Phone(918) 748-8381

Fax(918) 403-6328

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 4, 2016

Last NPPES UpdateJuly 13, 2022

NPPES CertifiedJuly 13, 2022

✔ NPI 1801340104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OK · 38796

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1725 E 19TH ST STE 200, Tulsa, OK 74104

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Secondary Practice Location 1

Location 1325 N State of FranklinJohnson City, TN 37614 · Phone (423) 439-6283

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Oklahoma, CommunityCare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pratyaksha Sankhyan Md 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 ID941535744

PECOS Enrollment IDI20220824002628

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 Reassignments

Medicare enrollment records show Pratyaksha Sankhyan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. John Physicians, Inc.

0.1 mi

Internal Medicine

1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104

Reassigned Medicare billing, Oklahoma enrollment
820 clinicians in this Medicare group

NPI 1336194406 (918) 744-2345

Usacs Critical Care Medicine Of Oklahoma, LLC

10 mi

Critical Care Medicine

1000 W BOISE CIR
Broken Arrow, OK 74012

Reassigned Medicare billing, Oklahoma enrollment
48 clinicians in this Medicare group

NPI 1255166856 (844) 474-4019

Catholic Health Initiatives Colorado

390 mi

Orthopaedic Surgery

401 KENDALL DR
Lamar, CO 81052

Reassigned Medicare billing, Colorado enrollment
1,193 clinicians in this Medicare group

NPI 1679182315 (719) 473-3332

Usacs Observation Medicine Services Of Colorado Inc.

518 mi

Emergency Medicine

6011 E WOODMEN RD STE 340
Colorado Springs, CO 80923

Reassigned Medicare billing, Colorado enrollment
285 clinicians in this Medicare group

NPI 1942161484 (844) 474-4019

Carson Tahoe Regional Healthcare

1,319 mi

General Acute Care Hospital

1600 MEDICAL PKWY
Carson City, NV 89703

Reassigned Medicare billing, Nevada enrollment
129 clinicians in this Medicare group

NPI 1255360160 (775) 445-8672

Cth Physicians Clinic

1,319 mi

Internal Medicine

1600 MEDICAL PKWY
Carson City, NV 89703

Reassigned Medicare billing, Nevada enrollment
126 clinicians in this Medicare group

NPI 1306533732 (775) 445-7170

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

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

171 services55 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

112 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

33 services32 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

33 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services22 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

22 services21 patients

Test to examine how well the lungs exchange gases 94729

19 services19 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

16 services16 patients

Test to measure expiratory airflow and volume 94010

12 services12 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Test to determine lung volumes using sensors 94726

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370018

Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County

Emergency services Birthing friendly

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

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.13

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers22 claims22 services$41.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$111.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HABIBA TAHIRA HUSSAIN MD

Internal Medicine (Pulmonary Disease)

1725 E 19TH ST STE 200
TULSA, OK 74104

Tulsa County (918) 748-8381

DR. BRADLEY D EDGINGTON DO

Internal Medicine (Pulmonary Disease)

1725 E 19TH ST STE 200
TULSA, OK 74104

Tulsa County (918) 748-8381

SAED FATHI AWADALLAH M.D.

Internal Medicine (Pulmonary Disease)

1725 E 19TH ST STE 200
TULSA, OK 74104

Tulsa County (918) 748-8381

PRIYANKA PATHANIA M.D.

Internal Medicine (Pulmonary Disease)

1725 E 19TH ST STE 200
TULSA, OK 74104

Tulsa County (918) 748-8381

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 Pratyaksha Sankhyan's NPI number?

The NPI number for Pratyaksha Sankhyan is 1801340104. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Pratyaksha Sankhyan located?

Pratyaksha Sankhyan practices at 1725 E 19th St Ste 200, Tulsa, OK 74104. The listed phone number is (918) 748-8381.

What is Pratyaksha Sankhyan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pratyaksha Sankhyan enrolled in Medicare?

Yes. Pratyaksha Sankhyan 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.

Which organizations bill Medicare for Pratyaksha Sankhyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratyaksha Sankhyan reassigns Medicare benefits to 6 organizations: St. John Physicians, Inc. (Tulsa, OK), Usacs Critical Care Medicine Of Oklahoma, LLC (Broken Arrow, OK), Catholic Health Initiatives Colorado (Lamar, CO), Usacs Observation Medicine Services Of Colorado Inc. (Colorado Springs, CO), Carson Tahoe Regional Healthcare (Carson City, NV) and 1 more organization, listed in the Medicare section above. Each 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 Pratyaksha Sankhyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratyaksha Sankhyan accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Oklahoma and CommunityCare list Pratyaksha Sankhyan 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 Pratyaksha Sankhyan affiliated with any hospitals?

According to CMS data, Pratyaksha Sankhyan is affiliated with Carson Tahoe Regional Medical Center, Ascension St John Jane Phillips and Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Pratyaksha Sankhyan was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.