Unknown Individual – Orthopaedic Surgery Physician, NPI 1891788998

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Orthopaedic Surgery Physician. They hold a License No. 4483 (OK). The NPI Number for Unknown Individual is 1891788998

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891788998
Phone
(918) 214-8232
Address
4802 S 109TH EAST AVE
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9182148232
Graduation Year
1978 (48 years ago)
PAC ID
4789604935
Group Practice PAC ID
9335033802
Professional Enrollment ID
I20070627000412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4802, South 109th East Avenue, Tulsa, Tulsa County, Oklahoma, 74146, United States

    TULSA, OK 741465822

    Phone: (918) 214-8232

    Fax: (918) 214-8237

    Type: Mailing

  • 4140, Southeast Adams Road, Bartlesville, Washington County, Oklahoma, 74006, United States

    STE. 103

    BARTLESVILLE, OK 740068450

    Phone: (918) 214-8232

    Fax: (918) 214-8237

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes6755$0
99215Established patient office or other outpatient visit, 40-54 minutes5653$0
73030X-ray of shoulder, minimum of 2 views5033$0
20610Aspiration and/or injection of fluid from large joint4332$0
J1040Injection, methylprednisolone acetate, 80 mg4231$0
View full utilization report →

Insurance plans in this area (ZIP 74146)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOK20610Aspiration and/or injection of large joint or joint capsule179131
ORTHOPEDIC SURGERYOK73110X-ray of wrist, minimum of 3 views7347
ORTHOPEDIC SURGERYOK73140X-ray of fingers, minimum of 2 views2216
ORTHOPEDIC SURGERYOK97001Physical therapy evaluation4139

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: 9335033802View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Sports Medicine, Family PracticeOK
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK
Sports Medicine, Family PracticeOK
Physical Therapist In Private PracticeOK
R H E U M A T O L O G YOK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1891788998.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Tulsa, Oklahoma may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Unknown Individual

Orthopaedic Surgery Physician
2488 E 81ST ST STE 290
NPI: 1790786630