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PHILIP POOKKATTU PAUL M.D.
NPI 1821524364
Family Medicine in Newcastle, OK

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment
729 NW 32ND PL, NEWCASTLE, OK 73065(405) 529-3173(405) 529-3174 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2025, May 28, 2025, Jul 16, 2021 (3 updates tracked since 2021).

About Philip Pookkattu Paul M.d. NPPES

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

PHILIP POOKKATTU PAUL M.D. (NPI 1821524364) is an individual family medicine provider in Newcastle, Oklahoma, licensed in Oklahoma (44857) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2017).

NPPES Registry Identity

NPI1821524364
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP POOKKATTU PAULCredential: M.D.
Location Address729 NW 32ND PLNewcastle, OK 73065-3623
Mailing Address729 Nw 32nd PlNewcastle, OK 73065-3623 · (405) 529-3173
Phone(405) 529-3173
Fax(405) 529-3174
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017
Enumeration DateMay 3, 2017
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1821524364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OK · 44857✔ Licensed in CT · 69020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
729 NW 32ND PL, Newcastle, OK 73065
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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, UnitedHealthcare.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

Philip Pookkattu Paul 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 ID1951678499
PECOS Enrollment IDI20250527001904
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

5

Medicare enrollment records show Philip Paul reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Oklahoma Communities
22 mi
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333
Anadarko Indian Health Center
39 mi
Public Health, Federal
201 E PARKER MCKENZIE DRIVE
Anadarko, OK 73005
  • Reassigned Medicare billing, Texas enrollment
  • 177 clinicians in this Medicare group
NPI 1881637403 (405) 247-7900
Carnegie Indian Health Center
58 mi
Public Health, Federal
212 E. 4TH STREET
Carnegie, OK 73015
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1457459158 (580) 654-1100
Lawton Indian Hospital
64 mi
General Acute Care Hospital
1515 NE LAWRIE TATUM RD
Lawton, OK 73507
  • Reassigned Medicare billing, Texas enrollment
  • 347 clinicians in this Medicare group
NPI 1760489223 (580) 354-5150
Middlesex Hospital
1,416 mi
Family
80 S MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 178 clinicians in this Medicare group
NPI 1972563138 (860) 358-6394

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 3

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.

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.
62 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73065 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
$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.

Other Providers at the Same Location NPPES

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

MRS. SHELLA MARIE GETTINGS CNP
Nurse Practitioner (Family)
729 NW 32ND PL
NEWCASTLE, OK 73065
McClain County (405) 529-3173

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 Philip Paul's NPI number?

The NPI number for Philip Paul is 1821524364. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Philip Paul located?

Philip Paul practices at 729 NW 32nd Pl, Newcastle, OK 73065. The listed phone number is (405) 529-3173.

What is Philip Paul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Paul enrolled in Medicare?

Yes. Philip Paul 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 Philip Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Paul reassigns Medicare benefits to 5 organizations: Mercy Clinic Oklahoma Communities (Oklahoma City, OK), Anadarko Indian Health Center (Anadarko, OK), Carnegie Indian Health Center (Carnegie, OK), Lawton Indian Hospital (Lawton, OK) and Middlesex Hospital (Middletown, CT). 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 Philip Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Paul accept?

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

According to CMS data, Philip Paul is affiliated with Mercy Hospital Oklahoma City, Inc.

When was this NPI record last updated?

The NPPES record for Philip Paul was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.