1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Family Medicine
  6. NPI Profile

FAMILY CARE OF TULSA, INC
NPI 1902945439
Family Medicine in Tulsa, OK

Active since February 05, 2007CLIA 37D0473983 · Waiver
4720 S HARVARD AVE, STE 102, TULSA, OK 74135(918) 744-0194(918) 744-4085 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Care Of Tulsa, Inc NPPES

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

FAMILY CARE OF TULSA, INC (NPI 1902945439) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Don R Roller, Owner, as its authorized official.

NPPES Registry Identity

NPI1902945439
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CARE OF TULSA, INC
Location Address4720 S HARVARD AVE, STE 102Tulsa, OK 74135-3048
Mailing Address4720 S Harvard Ave, Ste 102Tulsa, OK 74135-3048 · (918) 744-0194 · Fax (918) 744-4085
Phone(918) 744-0194
Fax(918) 744-4085
Organization SubpartNo
Authorized OfficialDon R RollerOwner · (918) 744-0194
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 9, 2010
✔ NPI 1902945439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 01897
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4720 S HARVARD AVE, Tulsa, OK 74135
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified500522073OK · Group Medicare #

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)

Family Care Of Tulsa, 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 Family Care Of Tulsa, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Don Roller, M.D.
Family Practice
NPI 1871577940
4720 S HARVARD AVE SUITE 102
Tulsa, OK 74135
(918) 744-0194
✔ 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.

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 37D0473983

Family Care Of Tulsa, Inc · Tulsa, OK
Active · expires Apr 2, 2027
CLIA Number37D0473983
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDon R. Roller, MD
Laboratory Phone(918) 744-0194
Laboratory LocationFamily Care Of Tulsa, Inc4720 South Harvard, Suite 102, Tulsa, OK 74135
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 Family Care Of Tulsa, Inc's NPI number?

The NPI number for Family Care Of Tulsa, Inc is 1902945439. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Family Care Of Tulsa, Inc located?

Family Care Of Tulsa, Inc is located at 4720 S Harvard Ave Ste 102, Tulsa, OK 74135. The listed phone number is (918) 744-0194.

What is Family Care Of Tulsa, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Care Of Tulsa, Inc enrolled in Medicare?

Yes. Family Care Of Tulsa, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Care Of Tulsa, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Care Of Tulsa, 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.

Does Family Care Of Tulsa, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0473983) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Care Of Tulsa, Inc was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.