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TULSA OTOLARYNGOLOGY INC.
NPI 1891996096
Otolaryngology in Tulsa, OK

Active since May 29, 2007
1725 E 19TH ST, SUITE 100, TULSA, OK 74104(918) 742-7376(918) 743-2117 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tulsa Otolaryngology Inc. NPPES

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

TULSA OTOLARYNGOLOGY INC. (NPI 1891996096) is a healthcare organization registered as an otolaryngology in Tulsa, Oklahoma and active in the NPI registry since May 2007. The organization lists Alen Munson Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1891996096
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameTULSA OTOLARYNGOLOGY INC.
Location Address1725 E 19TH ST, SUITE 100Tulsa, OK 74104-5437
Mailing Address1725 E 19th St, Suite 100Tulsa, OK 74104-5437 · (918) 742-7376 · Fax (918) 743-2117
Phone(918) 742-7376
Fax(918) 743-2117
Organization SubpartNo
Authorized OfficialAlen Munson FullerOwner · (918) 742-7376
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891996096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OK · 7801
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1725 E 19TH ST, Tulsa, OK 74104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tulsa Otolaryngology Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tulsa Otolaryngology Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Alen Fuller, M.D.
Otolaryngology
NPI 1164422408
1725 E 19TH ST SUITE 100
Tulsa, OK 74104
(918) 742-7376
✔ PECOS✔ Accepts MedicareSame address

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

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 Tulsa Otolaryngology Inc.'s NPI number?

The NPI number for Tulsa Otolaryngology Inc. is 1891996096. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Tulsa Otolaryngology Inc. located?

Tulsa Otolaryngology Inc. is located at 1725 E 19th St Suite 100, Tulsa, OK 74104. The listed phone number is (918) 742-7376.

What is Tulsa Otolaryngology Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tulsa Otolaryngology Inc. enrolled in Medicare?

Yes. Tulsa Otolaryngology Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tulsa Otolaryngology Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Tulsa Otolaryngology Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tulsa Otolaryngology Inc. was last updated on August 22, 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.