COMPLETE & COMPREHENSIVE KIDNEY CARE PLLC
NPI 1922647585
Internal Medicine - Adolescent Medicine in Oklahoma City, OK

Active since December 31, 2019
810 NW 10TH ST STE A, OKLAHOMA CITY, OK 73106(405) 272-8367 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Complete & Comprehensive Kidney Care Pllc NPPES

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

COMPLETE & COMPREHENSIVE KIDNEY CARE PLLC (NPI 1922647585) is a healthcare organization registered as an adolescent medicine in Oklahoma City, Oklahoma and active in the NPI registry since December 2019. The organization lists Tariq A Khan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922647585
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameCOMPLETE & COMPREHENSIVE KIDNEY CARE PLLC
Location Address810 NW 10TH ST STE AOklahoma City, OK 73106-7216
Mailing AddressPo Box 268946Oklahoma City, OK 73126-8946 · (405) 691-4703
Organization SubpartNo
Authorized OfficialTariq A KhanCeo · (314) 629-8948
Enumeration DateDecember 31, 2019
✔ NPI 1922647585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
810 NW 10TH ST STE A, Oklahoma City, OK 73106

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)

Complete & Comprehensive Kidney Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Complete & Comprehensive Kidney Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1396804662
4221 S WESTERN AVE STE 5020
Oklahoma City, OK 73109
(405) 768-5904
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1639166499
1600 SW 119TH ST
Oklahoma City, OK 73170
(405) 425-8100
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1821627167
105 S BRYANT AVE STE 101
Edmond, OK 73034
(405) 823-0094
✔ PECOS✔ Accepts Medicare13 mi

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 Complete & Comprehensive Kidney Care PLLC's NPI number?

The NPI number for Complete & Comprehensive Kidney Care PLLC is 1922647585. It was assigned to this organization in the NPPES registry on December 31, 2019.

Where is Complete & Comprehensive Kidney Care PLLC located?

Complete & Comprehensive Kidney Care PLLC is located at 810 NW 10th St Ste A, Oklahoma City, OK 73106. The listed phone number is (405) 272-8367.

What is Complete & Comprehensive Kidney Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Complete & Comprehensive Kidney Care PLLC enrolled in Medicare?

Yes. Complete & Comprehensive Kidney Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complete & Comprehensive Kidney Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Complete & Comprehensive Kidney Care PLLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Complete & Comprehensive Kidney Care PLLC was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.