THOMAS NYOTA KAMUMO (PA) – Physician Assistant, NPI 1720752314
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for THOMAS NYOTA KAMUMO (PA)
3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY, OK 731342640
Phone: (918) 542-6611
Fax: (918) 540-7709
Type: Mailing
310 2ND AVE SW
MIAMI, OK 743546743
Phone: (918) 542-6611
Fax: (918) 540-7709
Type: Location
10 E 13th St
Grove, OK 743445300
Phone: (918) 787-1909
Fax: (918) 787-3866
Type: Location
21 W Central Ave
Miami, OK 743546815
Phone: (918) 542-3900
Fax: (918) 542-3928
Type: Location
216 S 7th St
Vinita, OK 743013742
Phone: (918) 256-1500
Fax: (918) 323-0460
Type: Location
3349 M ST NW
MIAMI, OK 743541902
Phone: (918) 533-0173
Type: Mailing
1111 W 17TH ST
TULSA, OK 741071886
Phone: (918) 582-1972
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: 2024-03-27
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 |
|---|---|---|---|---|
| I20240327001246 | I | Physician Assistant | 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 73134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Internal Medicine | OK | |
| Emergency Medicine | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | CO |
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