ANDREW PAUL POLITO (D.O.) – Internal Medicine Physician, NPI 1215355037
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
18 PULMONARY DISEASE in AK
Provider Addresses for ANDREW PAUL POLITO (D.O.)
5955 ZEAMER AVE
ELMENDORF AFB, AK 995063702
Phone: (907) 580-2060
Type: Mailing
5310 E 31ST ST STE 13
TULSA, OK 741355013
Phone: (918) 561-5701
Fax: (918) 561-1173
Type: Mailing
802 S JACKSON AVE STE 310
TULSA, OK 741279057
Phone: (918) 631-8130
Fax: (918) 631-8134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $647.
Total Amount is formed as General ($647) + Research ($0) + Ownership ($0) = $647.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Amgen Inc. ($119).
Total Amount
$647
General + Research + Ownership
Payments
30
Total payment records
General Amount
$647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240402002924 | I | Pulmonary Disease | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| - | OK | |
| Plastic And Reconstructive Surgery | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Pulmonary Disease, Internal Medicine | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | PA |
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