NES OKLAHOMA, INC. – Emergency Medicine Physician, NPI 1528040722
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NES OKLAHOMA, INC.
PO BOX 936435
ATLANTA, GA 311936435
Phone: (800) 377-8721
Fax: (304) 523-2241
Type: Mailing
901 S 5th Ave
Madill, OK 734463640
Phone: (580) 795-3384
Type: Location
1800 W University Blvd
Durant, OK 747013006
Phone: (580) 924-3080
Type: Location
AllianceHealth Ponca City, 1900, North 14th Street, Ponca City, Kay County, Oklahoma, 74601, United States
PONCA CITY, OK 746012035
Phone: (580) 765-3321
Type: Location
7300 STATE HIGHWAY 121 STE 370-374
MCKINNEY, TX 750701987
Phone: (469) 557-6183
Fax: (469) 640-6671
Type: Mailing
PO BOX 31104
BELFAST, ME 049150140
Phone: (800) 377-8721
Fax: (304) 697-1155
Type: Mailing
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: 2004-07-26
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 |
|---|---|---|---|---|
| O20040726000516 | O | Clinic/Group Practice | 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 31193)
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