BIXBY PEDIATRICS PLLC
NPI 1902177769
Clinic/Center - Primary Care in Tulsa, OK

Q: What is Bixby Pediatrics PLLC's NPI number?

The NPI number for Bixby Pediatrics PLLC is 1902177769. It was assigned to this organization in the NPPES registry on January 25, 2012.

Q: What is Bixby Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 25, 2012CLIA 37D2036218 · Waiver

11063D SOUTH MEMORIAL DR., 422, TULSA, OK 74133(918) 439-6461 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bixby Pediatrics Pllc NPPES

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

BIXBY PEDIATRICS PLLC (NPI 1902177769) is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Nidhi Koul, Doctor, as its authorized official.

NPPES Registry Identity

NPI1902177769

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameBIXBY PEDIATRICS PLLC

Location Address11063D SOUTH MEMORIAL DR., 422Tulsa, OK 74133

Mailing Address11063d South Memorial Dr., 422Tulsa, OK 74133 · (918) 439-6461

Phone(918) 439-6461

Organization SubpartNo

Authorized OfficialNidhi KoulDoctor · (918) 439-6461

Enumeration DateJanuary 25, 2012

✔ NPI 1902177769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in OK · 26393

11063D SOUTH MEMORIAL DR., Tulsa, OK 74133

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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 37D2036218

Bixby Pediatrics PLLC · Bixby, OK

Active · expires Feb 2, 2028

CLIA Number37D2036218

Laboratory TypePhysician Office

Certificate Effective DateFebruary 3, 2026

Certificate Expiration DateFebruary 2, 2028

Laboratory DirectorNidhi Koul

Laboratory Phone(918) 439-6461

Laboratory LocationBixby Pediatrics PLLC6560 E 121st Street South, Bixby, OK 74008

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Bixby Pediatrics PLLC's NPI number?

The NPI number for Bixby Pediatrics PLLC is 1902177769. It was assigned to this organization in the NPPES registry on January 25, 2012.

Where is Bixby Pediatrics PLLC located?

Bixby Pediatrics PLLC is located at 11063D South Memorial Dr. 422, Tulsa, OK 74133. The listed phone number is (918) 439-6461.

What is Bixby Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bixby Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2036218) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bixby Pediatrics PLLC 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 Bixby Pediatrics PLLC 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 Bixby Pediatrics PLLC was last updated on January 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.