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JACLYN C URQUIOLA SORZANO D.O.
NPI 1902260565
Pediatrics - Pediatric Emergency Medicine in Oklahoma City, OK

Active since April 11, 2016PECOS Enrolled
940 NE 13TH ST # 2300, OKLAHOMA CITY, OK 73104(405) 271-2429(407) 975-0413 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2022, Oct 9, 2019, Mar 16, 2017 (3 updates tracked since 2017).

About Jaclyn C Urquiola Sorzano D.o. NPPES

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

JACLYN C URQUIOLA SORZANO D.O. (NPI 1902260565) is an individual pediatric emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (7610) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902260565
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJACLYN C URQUIOLA SORZANOCredential: D.O.
Location Address940 NE 13TH ST # 2300Oklahoma City, OK 73104-5008
Mailing Address9100 Nw 117th StYukon, OK 73099-8945 · (786) 390-6297
Phone(405) 271-2429
Fax(407) 975-0413
Sole ProprietorNo
Enumeration DateApril 11, 2016
Last NPPES UpdateJune 6, 20223 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1902260565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in OK · 7610
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License OS16013 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
940 NE 13TH ST # 2300, Oklahoma City, OK 73104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn C Urquiola Sorzano D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Jaclyn Urquiola Sorzano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Clinical Practice Association Inc
970 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Florida Hospital Medical Group Inc
1,059 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

Other Providers at the Same Location NPPES 8

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

DR. DAVID J RHODES MD
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
YUANYUAN SUN M.D.
Student in an Organized Health Care Education/Training Program
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
SARAH ANNE THEVATHERIL MD
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
KENDALL LUYT MD
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
DR. VAMSIKRISHNA POLAMREDDY KALIKI M.D.
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (501) 655-0685
SCOTT TREECE M.D.
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
DR. BROOKE DANIELLE CLOUD DO
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
MARY ASAL MD, MPH
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429

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 Jaclyn Urquiola Sorzano's NPI number?

The NPI number for Jaclyn Urquiola Sorzano is 1902260565. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Jaclyn Urquiola Sorzano located?

Jaclyn Urquiola Sorzano practices at 940 NE 13th St # 2300, Oklahoma City, OK 73104. The listed phone number is (405) 271-2429.

What is Jaclyn Urquiola Sorzano's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jaclyn Urquiola Sorzano enrolled in Medicare?

Yes. Jaclyn Urquiola Sorzano is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaclyn Urquiola Sorzano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Urquiola Sorzano reassigns Medicare benefits to 2 organizations: Florida Clinical Practice Association Inc (Gainesville, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Jaclyn Urquiola Sorzano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Urquiola Sorzano was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.