DR. ANDRA DALE NUZUM-KEIM (M.D.) – Diagnostic Radiology Physician, NPI 1205063864
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 DIAGNOSTIC RADIOLOGY in OK
Provider Addresses for DR. ANDRA DALE NUZUM-KEIM (M.D.)
4111 S DARLINGTON AVE STE 700
TULSA, OK 741356349
Phone: (918) 747-4975
Fax: (918) 743-9058
Type: Location
PO BOX 4930
TULSA, OK 741590930
Phone: (918) 747-4975
Fax: (918) 743-8552
Type: Mailing
5801 E 41ST ST STE 900
TULSA, OK 741355631
Phone: (918) 747-4975
Fax: (918) 743-8552
Type: Location
Southeast Tulsa Post Office, 9023, East 46th Street, Tulsa, Oklahoma, 74145, United States
TULSA, OK 741590939
Phone: (918) 747-4975
Fax: (918) 743-9058
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-01-11
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 |
|---|---|---|---|---|
| I20110111000966 | I | Diagnostic Radiology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 918 | 918 | $0 |
| 77067 | Screening mammography | 916 | 916 | $0 |
| 71045 | X-ray of chest, 1 view | 189 | 179 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 169 | 143 | $0 |
| 70450 | Ct scan head or brain without contrast | 128 | 126 | $0 |
Insurance plans in this area (ZIP 74135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OK | 71250 | CT scan chest | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| - | CO | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | SC | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | MO |
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