ID CONSULTANTS PLLC
NPI 1932507605
Internal Medicine - Infectious Disease in Broken Arrow, OK

Active since December 12, 2014
8609 WILLOW SPRINGS CT, BROKEN ARROW, OK 74011(918) 361-2825(770) 573-9513 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Id Consultants Pllc NPPES

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

ID CONSULTANTS PLLC (NPI 1932507605) is a healthcare organization registered as an infectious disease in Broken Arrow, Oklahoma and active in the NPI registry since December 2014. The organization lists Shaun White, Manager, as its authorized official.

NPPES Registry Identity

NPI1932507605
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameID CONSULTANTS PLLC
Location Address8609 WILLOW SPRINGS CTBroken Arrow, OK 74011-8250
Mailing Address8609 Willow Springs CtBroken Arrow, OK 74011-8250 · (918) 361-2825 · Fax (770) 573-9513
Fax(770) 573-9513
Organization SubpartNo
Authorized OfficialShaun WhiteManager · (502) 212-9393
Enumeration DateDecember 12, 2014
Last NPPES UpdateFebruary 12, 2015
✔ NPI 1932507605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OK · 24139
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
8609 WILLOW SPRINGS CT, Broken Arrow, OK 74011

Other Identifiers 4

Medicaid200037750AOK
Medicare UPINH33677OK
Medicare PIN248429006OK
Other24139OK · State License

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Id Consultants Pllc 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 Id Consultants PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1215912621
6565 S YALE AVE SUITE 812
Tulsa, OK 74136
(918) 494-9486
✔ PECOS9.4 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 Id Consultants PLLC's NPI number?

The NPI number for Id Consultants PLLC is 1932507605. It was assigned to this organization in the NPPES registry on December 12, 2014.

Where is Id Consultants PLLC located?

Id Consultants PLLC is located at 8609 Willow Springs Ct, Broken Arrow, OK 74011. The listed phone number is (918) 361-2825.

What is Id Consultants PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Id Consultants PLLC enrolled in Medicare?

Yes. Id Consultants PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Id Consultants PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Id Consultants PLLC. 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.

What insurance does Id Consultants PLLC 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 Id Consultants PLLC 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 Id Consultants PLLC was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.