ALPANA JAVA PASRICHA M.D.
NPI 1801800222
Internal Medicine - Nephrology in Tulsa, OK

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
51.75/100
CMS Quality Rating
6465 S YALE AVE STE 401, TULSA, OK 74136(918) 582-3154(918) 582-3593 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Jul 18, 2023, Jan 11, 2023 and 1 more (4 updates tracked since 2017).

About Alpana Java Pasricha M.d. NPPES

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

ALPANA JAVA PASRICHA M.D. (NPI 1801800222) is an individual nephrology provider in Tulsa, Oklahoma, licensed in Oklahoma (23367) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Hospital Pryor, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1801800222
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameALPANA JAVA PASRICHACredential: M.D.
Location Address6465 S YALE AVE STE 401Tulsa, OK 74136-7806
Mailing Address6465 S Yale Ave Ste 401Tulsa, OK 74136-7806 · (918) 582-3154
Fax(918) 582-3593
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 28, 2006
Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1801800222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OK · 23367
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6465 S YALE AVE STE 401, Tulsa, OK 74136

Other Identifiers 5

Medicaid200093120AOK
Other182646MO · Blue Cross Blue Shield
Medicaid208777805MO
OtherP00177338Railroad Medicare
Other0000104083KS · Blue Cross Blue Shield

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

Alpana Java Pasricha 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 ID8224932082
PECOS Enrollment IDI20040811001254
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.

Areas of Expertise CMS Part B claims 10

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.

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.
420 services166 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.
340 services161 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.
322 services145 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.
95 services91 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
91 services23 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
73 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Hospital Pryor

Acute Care Hospitals · Pryor, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370015
Location111 North Bailey StreetPryor, OK 74361 · Mayes County
Emergency services

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Oklahoma State University Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370078
Location744 West 9th StreetTulsa, OK 74127 · Tulsa County
Emergency services Birthing friendly

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

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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.

51.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.76
Improvement Activities0
Cost54.34

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%137 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
78%375 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%174 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,689 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%392 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%579 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%415 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%97 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 428 patients
Patients screened: 100% · 428 patients
46%50 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 403 patients
Patients totalRate: 1% · 403 patients
1%403 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
6465 S YALE AVE STE 401
TULSA, OK 74136
Internal Medicine (Nephrology)
6465 S YALE AVE STE 401
TULSA, OK 74136
Nurse Practitioner
6465 S YALE AVE STE 401
TULSA, OK 74136
Nurse Practitioner (Family)
6465 S YALE AVE STE 401
TULSA, OK 74136
Internal Medicine (Nephrology)
6465 S YALE AVE STE 401
TULSA, OK 74136
Clinic/Center
6465 S YALE AVE STE 401
TULSA, OK 74136
Internal Medicine (Nephrology)
6465 S YALE AVE STE 401
TULSA, OK 74136
Nurse Practitioner (Family)
6465 S YALE AVE STE 401
TULSA, OK 74136

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 Alpana Pasricha's NPI number?

The NPI number for Alpana Pasricha is 1801800222. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Alpana Pasricha located?

Alpana Pasricha practices at 6465 S Yale Ave Ste 401, Tulsa, OK 74136. The listed phone number is (918) 582-3154.

What is Alpana Pasricha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alpana Pasricha enrolled in Medicare?

Yes. Alpana Pasricha 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 Alpana Pasricha accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Alpana Pasricha 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 Alpana Pasricha affiliated with any hospitals?

According to CMS data, Alpana Pasricha is affiliated with Hillcrest Hospital Pryor, Hillcrest Hospital Claremore, Oklahoma State University Medical Center, Saint Francis Hospital, Inc and Hillcrest Hospital South.

When was this NPI record last updated?

The NPPES record for Alpana Pasricha was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.