DAVID H JELLEY (M.D.) – Pediatric Endocrinology Physician, NPI 1649257569

DAVID H JELLEY (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Pediatric Endocrinology Physician. They hold the professional credentials M.D.. They hold a License No. 16192 (OK). The NPI Number for DAVID H JELLEY (M.D.) is 1649257569

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DAVID H JELLEY (M.D.)
NPI
1649257569
Phone
(918) 619-4800
Address
PO BOX 268838
Enumeration Date
30 December 2005
Last Update Date
27 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9185820721
Graduation Year
1986 (40 years ago)
PAC ID
5799862520
Group Practice PAC ID
5395645329
Professional Enrollment ID
I20080404000007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID H JELLEY (M.D.)

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731268838

    Phone: (918) 619-4800

    Fax: (918) 619-4801

    Type: Mailing

  • East 41st Street, Granite Avenue, Tulsa, Tulsa County, Oklahoma, 74135, United States

    1ST FLOOR, STE B

    TULSA, OK 741352527

    Phone: (918) 619-4800

    Fax: (918) 619-4801

    Type: Location

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: 2015-01-12

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
I20080404000007IPediatric MedicineOKTBD
I20150112000618IEndocrinologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73126)

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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: 5395645329View full group profile
NameSpecialtyState
-OK
P S Y C H I A T R YOK
-OK
O B S T E T R I C S/ G Y N E C O L O G YTX
Nephrology, Internal MedicineOK
Clinical PsychologistOK
-OK
Internal MedicineOK
-OK
-OK

Reviews

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Frequently asked questions

What NPI should I save for DAVID H JELLEY (M.D.)?
Save NPI 1649257569 if you need a stable reference for DAVID H JELLEY (M.D.).
Is DAVID H JELLEY (M.D.) active in the national directory?
DAVID H JELLEY (M.D.)'s public NPI profile is in an active state.
What kind of provider is DAVID H JELLEY (M.D.)?
The page reflects Pediatric Endocrinology Physician for DAVID H JELLEY (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DAVID H JELLEY (M.D.)?
The snapshot lists Oklahoma City, Oklahoma for DAVID H JELLEY (M.D.); download NPPES for the complete set.
How can I contact DAVID H JELLEY (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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