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KM NEUROSURGERY CLINIC
NPI 1902498686
Specialist in Tulsa, OK

Active since February 04, 2021CLIA 37D2214146 · Waiver
6802 S OLYMPIA AVE STE 275, TULSA, OK 74132(918) 600-0327(918) 732-9229 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2021, Mar 16, 2021, Feb 11, 2021 and 1 more (4 updates tracked since 2021).

About Km Neurosurgery Clinic NPPES

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

KM NEUROSURGERY CLINIC (NPI 1902498686) is a healthcare organization registered as a specialist in Tulsa, Oklahoma and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 18, 2027, maintains 2 additional practice locations, and lists Brittney Payne, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902498686
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKYLE J MANGELS MD, PLC
Location Address6802 S OLYMPIA AVE STE 275Tulsa, OK 74132-1848
Mailing Address6802 S Olympia Ave Ste 275Tulsa, OK 74132-1848 · (918) 600-0327 · Fax (918) 732-9229
Phone(918) 600-0327
Fax(918) 732-9229
Organization SubpartNo
Authorized OfficialBrittney PayneOffice Manager · (918) 600-0327
Enumeration DateFebruary 4, 2021
Last NPPES UpdateJune 23, 20224 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1902498686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6802 S OLYMPIA AVE STE 275, Tulsa, OK 74132
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Other Names 2

Doing Business AsKm Neurosurgery Clinic
Former Legal Business NameKyle J Mangels Md, Plc

Secondary Practice Locations 2

Location 1310 2nd Ave SW Ste 205Miami, OK 74354-6702 · Phone (918) 600-0327 · Fax (918) 732-9229
Location 2213 E Redwood AveSallisaw, OK 74955-2811 · Phone (918) 600-0327 · Fax (918) 732-9229

Other Identifiers 5

Medicaid100138240AOK
Other1902498686OK · Medicare
Other1902498686OK · Novitas Solutions
Other1902498686OK · Aetna
Other10885134OK · Caqh

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

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 37D2214146

Km Neurosurgery Clinic · Tulsa, OK
Active · expires Feb 18, 2027
CLIA Number37D2214146
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorKyle J. Mangels
Laboratory Phone(918) 600-0327
Laboratory LocationKm Neurosurgery Clinic6802 S Olympia Ave, Ste 275, Tulsa, OK 74132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MR. KYLE JOE MANGELS M.D.
Specialist
6802 S OLYMPIA AVE STE 275
TULSA, OK 74132
Tulsa County (918) 600-0327
KRISTI A KREBS PA
Physician Assistant (Surgical)
6802 S OLYMPIA AVE STE 275
TULSA, OK 74132
Tulsa County (918) 600-0327

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 Kyle J Mangels MD, Plc's NPI number?

The NPI number for Kyle J Mangels MD, Plc is 1902498686. It was assigned to this organization in the NPPES registry on February 4, 2021. The provider is doing business as Km Neurosurgery Clinic.

Where is Kyle J Mangels MD, Plc located?

Kyle J Mangels MD, Plc is located at 6802 S Olympia Ave Ste 275, Tulsa, OK 74132. The listed phone number is (918) 600-0327.

What is Kyle J Mangels MD, Plc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Kyle J Mangels MD, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2214146) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kyle J Mangels MD, Plc 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 Kyle J Mangels MD, Plc 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 Kyle J Mangels MD, Plc was last updated on June 23, 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.