DR. HAFIDA RAKI MUMALLAH (D.O.) – Family Medicine Physician, NPI 1225283096
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for DR. HAFIDA RAKI MUMALLAH (D.O.)
Holliman Medical Building, 1705, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
STE 302
TULSA, OK 741045410
Phone: (918) 619-4700
Type: Mailing
1111, South Saint Louis Avenue, Forest Orchard, Tulsa, Tulsa County, Oklahoma, 74120, United States
TULSA, OK 741205440
Phone: (918) 619-4700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: ABBVIE INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $15 |
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: 2018-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110106001056 | I | Family Practice | OK | TBD |
| I20180515001855 | I | Family Practice | MS | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 533 | 506 | $0 |
| 99291 | Critical care, first 30-74 minutes | 284 | 273 | $0 |
Insurance plans in this area (ZIP 74104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Hospitalist, Emergency Medicine | TN | |
| Internal Medicine, Emergency Medicine | GA | |
| Physician Assistant | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Emergency Medicine, Internal Medicine | VA | |
| Nurse Practitioner | MS | |
| Internal Medicine | MS | |
| Internal Medicine | FL |
Reviews
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