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OSUMC PROFESSIONAL SERVICES LLC
NPI 1922325992
Clinic/Center - Medical Specialty in Tulsa, OK

Active since April 29, 2010
9645 RIVERSIDE PKWY STE C, TULSA, OK 74137(918) 209-5710(918) 209-5187 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Osumc Professional Services Llc NPPES

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

OSUMC PROFESSIONAL SERVICES LLC (NPI 1922325992), doing business as Osu Medical Group, is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since April 2010. The organization lists Eric Atkinson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922325992
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOSUMC PROFESSIONAL SERVICES LLC
Location Address9645 RIVERSIDE PKWY STE CTulsa, OK 74137-7427
Mailing Address5310 E 31st St Fl 13Tulsa, OK 74135-5018 · (918) 561-5701 · Fax (918) 561-1173
Phone(918) 209-5710
Fax(918) 209-5187
Organization SubpartNo
Authorized OfficialEric AtkinsonCeo · (918) 599-5000
Enumeration DateApril 29, 2010
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1922325992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
9645 RIVERSIDE PKWY STE C, Tulsa, OK 74137
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Other Names 1

Doing Business AsOsu Medical Group

Other Identifiers 1

Medicaid200308130AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osumc Professional Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Osumc Professional Services LLC, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice8
Orthopedic Surgery3
Internal Medicine2
Nurse Practitioner2
Pulmonary Disease2
Endocrinology1
Gastroenterology1
Plastic and Reconstructive Surgery1
2 other specialties2

Nearest to this location (20)

See all 22
Nicholas Thompson, DO
Sports Medicine
NPI 1629334701
9645 RIVERSIDE PKWY STE C
Tulsa, OK 74137
(918) 209-5170
✔ PECOS✔ Accepts Medicare0.1 mi
Lisa Mogelnicki, DPM
Podiatry
NPI 1689967739
2431 E 61ST ST STE 500
Tulsa, OK 74136
(918) 582-6800
✔ PECOS✔ Accepts Medicare3.3 mi
Hanna Fogg, D.O.
Endocrinology
NPI 1730620246
6126 E 61ST ST
Tulsa, OK 74136
(918) 576-6998
✔ PECOS✔ Accepts Medicare4.1 mi
Sheldon Berger, D.O.
Gastroenterology
NPI 1114982089
10210 E 91ST ST
Tulsa, OK 74133
(918) 940-8500
✔ PECOS✔ Accepts Medicare5.0 mi
Chelsey Griffin, DO
Family Practice
NPI 1437359288
4415 S HARVARD AVE STE 125
Tulsa, OK 74135
(918) 392-3444
✔ PECOS✔ Accepts Medicare5.1 mi
Sophia Korman, D.O.
Family Practice
NPI 1487392973
4415 S HARVARD AVE STE 125
Tulsa, OK 74135
(918) 392-3444
✔ PECOS✔ Accepts Medicare5.1 mi
Chad Hanson, D.O.
Orthopedic Surgery
NPI 1649561713
744 W 9TH ST FL 1
Tulsa, OK 74127
(918) 631-8877
✔ PECOS✔ Accepts Medicare8.5 mi
Landon Stallings
Orthopedic Surgery
NPI 1255995403
744 W 9TH ST STE 100
Tulsa, OK 74127
(405) 227-8165
✔ PECOS✔ Accepts Medicare8.5 mi
Zachary Griffin, DO
Internal Medicine
NPI 1922685049
717 S HOUSTON AVE FL 3
Tulsa, OK 74127
(918) 382-5058
✔ PECOS✔ Accepts Medicare8.6 mi
Laurie Duckett, DO
Plastic and Reconstructive Surgery
NPI 1114923794
717 S HOUSTON AVE STE 500
Tulsa, OK 74127
(918) 747-5322
✔ PECOS✔ Accepts Medicare8.6 mi
Andrew Polito, D.O.
Pulmonary Disease
NPI 1215355037
717 S HOUSTON AVE STE 400
Tulsa, OK 74127
(918) 631-8130
✔ PECOS✔ Accepts Medicare8.6 mi
Jake Checketts, DO
Orthopedic Surgery
NPI 1801415328
744 W 9TH ST FL 1
Tulsa, OK 74127
(918) 631-8377
✔ PECOS✔ Accepts Medicare8.6 mi
Nadim Daher, MD
Pulmonary Disease
NPI 1326149048
802 S JACKSON AVE STE 310
Tulsa, OK 74127
(918) 631-8130
✔ PECOS✔ Accepts Medicare8.6 mi
Rachel Ray, DO
Family Practice
NPI 1336383322
550 S PEORIA AVE
Tulsa, OK 74120
(918) 588-1900
✔ PECOS✔ Accepts Medicare8.7 mi
James Cornwell, D.O.
Family Practice
NPI 1669884987
514 PLAZA CT
Sand Springs, OK 74063
(918) 215-5100
✔ PECOS✔ Accepts Medicare11 mi
Mallory White, APRN, CNP-FAMILY
Nurse Practitioner
NPI 1124411749
514 PLAZA CT
Sand Springs, OK 74063
(918) 215-5100
✔ PECOS✔ Accepts Medicare11 mi
Ronald Eimen
Family Practice
NPI 1588756951
500 CIMARRON DRIVE
Mannford, OK 74044
(918) 865-5000
✔ PECOS✔ Accepts Medicare24 mi
Lindsey Norman, FNP-C
Nurse Practitioner
NPI 1457753527
500 CIMARRON DR
Mannford, OK 74044
(918) 865-5000
✔ PECOS✔ Accepts Medicare24 mi
Megan Wilson, D.O.
Family Practice
NPI 1013283209
112 WEST 5TH STREET
Okmulgee, OK 74447
(918) 752-1080
✔ PECOS✔ Accepts Medicare28 mi
Perry Evans, DO
Family Practice
NPI 1942281688
119 S BROADWAY ST
Cleveland, OK 74020
(918) 358-2592
✔ PECOS✔ Accepts Medicare35 mi
See all 22 clinicians

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

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 Osumc Professional Services LLC's NPI number?

The NPI number for Osumc Professional Services LLC is 1922325992. It was assigned to this organization in the NPPES registry on April 29, 2010. The provider is doing business as OSU Medical Group.

Where is Osumc Professional Services LLC located?

Osumc Professional Services LLC is located at 9645 Riverside Pkwy Ste C, Tulsa, OK 74137. The listed phone number is (918) 209-5710.

What is Osumc Professional Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Osumc Professional Services LLC enrolled in Medicare?

Yes. Osumc Professional Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Osumc Professional Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 10 Medicare specialties reassign their Medicare billing to Osumc Professional Services LLC. 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. The largest specialties are Family Practice (8), Orthopedic Surgery (3) and Internal Medicine (2). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Osumc Professional Services LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Osumc Professional Services LLC 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 Osumc Professional Services LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.