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MADISEN FAE DORAND MD
NPI 1912526260
Internal Medicine in Tulsa, OK

Active since April 15, 2020PECOS Enrolled
1919 S WHEELING AVE STE 402, TULSA, OK 74104(918) 748-7877 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Mar 28, 2023, Apr 16, 2020 (3 updates tracked since 2020).

About Madisen Fae Dorand Md NPPES

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

MADISEN FAE DORAND MD (NPI 1912526260) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (41410) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2023).

NPPES Registry Identity

NPI1912526260
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMADISEN FAE DORANDCredential: MD
Location Address1919 S WHEELING AVE STE 402Tulsa, OK 74104-5633
Mailing Address1919 S Wheeling Ave Ste 402Tulsa, OK 74104-5633
Phone(918) 748-7877
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2023
Enumeration DateApril 15, 2020
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1912526260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 41410
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1919 S WHEELING AVE STE 402, Tulsa, OK 74104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madisen Fae Dorand Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729435763
PECOS Enrollment IDI20260814001735
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 Reassignment

Medicare enrollment records show Madisen Dorand reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Omni Medical Group Inc
0.1 mi
Internal Medicine
1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 181 clinicians in this Medicare group
NPI 1174578249 (918) 744-2345

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

AUSTIN JONES PA-C
Physician Assistant
1919 S WHEELING AVE STE 402
TULSA, OK 74104
Tulsa County (918) 748-7877
MARTHA CLAIRE KELLY-LEGLER APRN-CNP
Nurse Practitioner (Primary Care)
1919 S WHEELING AVE STE 402
TULSA, OK 74104
Tulsa County (918) 748-7877
MRS. MELISSA ABBOTT DNP, APRN, FNP-C
Nurse Practitioner (Family)
1919 S WHEELING AVE STE 402
TULSA, OK 74104
Tulsa County (918) 748-7877
MAUREEN HIERONYMUS AZARIAN MD
Internal Medicine
1919 S WHEELING AVE STE 402
TULSA, OK 74104
Tulsa County (918) 630-0680

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 Madisen Dorand's NPI number?

The NPI number for Madisen Dorand is 1912526260. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Madisen Dorand located?

Madisen Dorand practices at 1919 S Wheeling Ave Ste 402, Tulsa, OK 74104. The listed phone number is (918) 748-7877.

What is Madisen Dorand's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madisen Dorand enrolled in Medicare?

Yes. Madisen Dorand is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madisen Dorand's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madisen Dorand reassigns Medicare benefits to Omni Medical Group Inc (Tulsa, OK). The 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 Madisen Dorand's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madisen Dorand accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Madisen Dorand 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 Madisen Dorand was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.