LATA KOIRALA – Physician Assistant, NPI 1639569577

LATA KOIRALA is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2483 (OK). The NPI Number for LATA KOIRALA is 1639569577

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LATA KOIRALA
NPI
1639569577
Phone
(918) 579-5749
Address
1145 S UTICA AVE
Enumeration Date
30 January 2015
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174687200
Graduation Year
2014 (12 years ago)
PAC ID
3779803473
Group Practice PAC ID
0143367342
Professional Enrollment ID
I20210423000190
Address ID
TX760181164AR301XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for LATA KOIRALA

  • 1145 S UTICA AVE

    STE 460

    TULSA, OK 741044041

    Phone: (918) 579-5749

    Fax: (918) 579-5762

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 193 Open Payments records for all available years, with a total value of $3,913.

Total Amount is formed as General ($3,913) + Research ($0) + Ownership ($0) = $3,913.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($873).

Total Amount

$3,913

General + Research + Ownership

Payments

193

Total payment records

General Amount

$3,913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150520002156IPhysician AssistantOKTBD
I20210423000190IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes170131$0
99213Established patient office or other outpatient visit, 20-29 minutes8271$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143367342View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineTX
Physician AssistantSC
Nurse PractitionerTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for LATA KOIRALA?
The registry entry for LATA KOIRALA shows NPI 1639569577.
Is LATA KOIRALA's NPI status active today?
Active status means LATA KOIRALA's NPI record is not deactivated in the public file.
Which specialty label fits LATA KOIRALA?
NPPES ties LATA KOIRALA to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is LATA KOIRALA tied to Tulsa, Oklahoma?
If you are local to Tulsa, Oklahoma, LATA KOIRALA may be relevant to your search.
Can I export LATA KOIRALA's record?
You can download the official NPPES record; we summarize key fields for readability.

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