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OKLAHOMA STATE UNIVERSITY
NPI 1831250802
Clinic/Center - Medical Specialty in Tulsa, OK

Active since December 13, 2006CLIA 37D2020464 · Waiver
1705 E 19TH ST STE 600, TULSA, OK 74104(918) 382-3190(918) 382-6789 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oklahoma State University NPPES

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

OKLAHOMA STATE UNIVERSITY (NPI 1831250802), doing business as Osu Physicians Pediatrics, is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Eric John Polak, Vp, as its authorized official.

NPPES Registry Identity

NPI1831250802
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOKLAHOMA STATE UNIVERSITY
Location Address1705 E 19TH ST STE 600Tulsa, OK 74104-5417
Mailing Address5310 E 31st St Fl 13Tulsa, OK 74135-5018 · (918) 567-5701 · Fax (918) 561-1173
Phone(918) 382-3190
Fax(918) 382-6789
Organization SubpartNo
Authorized OfficialEric John PolakVp · (918) 561-8422
Enumeration DateDecember 13, 2006
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1831250802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1705 E 19TH ST STE 600, Tulsa, OK 74104
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Other Names 1

Doing Business AsOsu Physicians Pediatrics

Other Identifiers 1

Medicaid100757080AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2020464

Oklahoma State University Clinical Research Unit · Tulsa, OK
Active · expires Feb 17, 2027
CLIA Number37D2020464
Laboratory TypeResearch
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorDennis E. Blankenship
Laboratory Phone(918) 586-4737
Laboratory LocationOklahoma State University Clinical Research Unit1631 S Utica Ave, Tulsa, OK 74104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

PHILIP TOLENTINO DO
Pediatrics
1705 E 19TH ST STE 600
TULSA, OK 74104
Tulsa County (918) 382-4600
JOCELYN WEY DO
Pediatrics
1705 E 19TH ST STE 600
TULSA, OK 74104
Tulsa County (918) 382-4600
JOHN ABRAHAM MD
Family Medicine
1705 E 19TH ST STE 600
TULSA, OK 74104
Tulsa County (918) 872-6880

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 Oklahoma State University's NPI number?

The NPI number for Oklahoma State University is 1831250802. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as OSU Physicians Pediatrics.

Where is Oklahoma State University located?

Oklahoma State University is located at 1705 E 19th St Ste 600, Tulsa, OK 74104. The listed phone number is (918) 382-3190.

What is Oklahoma State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Oklahoma State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2020464) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oklahoma State University 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 list Oklahoma State University 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 Oklahoma State University was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.