MIRANDA LOGAN PHILLIPS (D.O.) – Emergency Medicine Physician, NPI 1811122591

MIRANDA LOGAN PHILLIPS (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. E-9713 (AR). The NPI Number for MIRANDA LOGAN PHILLIPS (D.O.) is 1811122591

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA LOGAN PHILLIPS (D.O.)
NPI
1811122591
Phone
(918) 502-3939
Address
6161 S Yale Ave
Enumeration Date
24 May 2009
Last Update Date
14 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4099867757
Graduation Year
2009 (17 years ago)
PAC ID
0143483008
Group Practice PAC ID
7416840574
Professional Enrollment ID
I20230825002724
Address ID
TX778022544BR2801XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for MIRANDA LOGAN PHILLIPS (D.O.)

  • 6161 S Yale Ave

    Tulsa, OK 741361902

    Phone: (918) 502-3939

    Type: Location

  • Saint Francis Hospital, 6161, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 74136, United States

    TULSA, OK 741361902

    Phone: (918) 502-3939

    Type: Location

  • 7122 S SHERIDAN RD STE 2-335

    TULSA, OK 741332748

    Phone: (918) 809-9364

    Type: Mailing

  • 9625 E 108TH PL S

    TULSA, OK 741336774

    Phone: (918) 809-9364

    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: 2023-08-25

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
I20120514000230IEmergency MedicineOKTBD
I20230825002724IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making5151$0
99284Emergency department visit with moderate level of medical decision making1616$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 7416840574View full group profile
NameSpecialtyState
Nurse PractitionerFL
Emergency MedicineIN
Emergency MedicineTX
-OH
General PracticeWA
Emergency MedicinePA
Family Practice, Emergency MedicineCT
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineIA

Reviews

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Frequently asked questions

What is the registry number for MIRANDA LOGAN PHILLIPS (D.O.)?
The registry entry for MIRANDA LOGAN PHILLIPS (D.O.) shows NPI 1811122591.
Is MIRANDA LOGAN PHILLIPS (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists MIRANDA LOGAN PHILLIPS (D.O.) as active.
What services align with MIRANDA LOGAN PHILLIPS (D.O.)'s listing?
MIRANDA LOGAN PHILLIPS (D.O.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MIRANDA LOGAN PHILLIPS (D.O.) in Tulsa, Oklahoma?
For routing, start with Tulsa, Oklahoma for MIRANDA LOGAN PHILLIPS (D.O.), then verify phone and hours locally.
Can I export MIRANDA LOGAN PHILLIPS (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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