Variety Care 10th Street – Federally Qualified Health Center (FQHC), NPI 1033344197

Variety Care 10th Street is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Variety Care 10th Street is 1033344197

Main info

Organization
Name
Variety Care 10th Street
NPI
1033344197
Phone
(405) 632-6688
Address
3000 N GRAND BLVD
Authorized Official
TIM REDDOUT CFO
Enumeration Date
19 May 2009
Last Update Date
26 February 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Variety Care 10th Street

  • 3000, Northwest Grand Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73107, United States

    OKLAHOMA CITY, OK 731071818

    Phone: (405) 632-6688

    Fax: (405) 604-0708

    Type: Mailing

  • 4023, Northwest 10th Street, Oklahoma City, Oklahoma County, Oklahoma, 73107, United States

    OKLAHOMA CITY, OK 731076038

    Phone: (405) 632-6688

    Fax: (405) 604-0708

    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: 2009-06-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090629000443OFederally Qualified Health Center (Fqhc)OKTBD

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 73107)

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Reviews

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Frequently asked questions

How do I look up Variety Care 10th Street by NPI?
Use NPI 1033344197 when you need to reference Variety Care 10th Street in forms, claims, or directories.
Is Variety Care 10th Street currently active in the NPI registry?
CMS-published data lists Variety Care 10th Street as an active registrant.
Does Variety Care 10th Street list a primary specialty?
If you are matching referrals, note Federally Qualified Health Center (FQHC) for Variety Care 10th Street. Clinical services aligned with this taxonomy classification.
Does Variety Care 10th Street practice in Oklahoma?
You will see Oklahoma City, Oklahoma on file for Variety Care 10th Street alongside any extra practice locations.
Is Variety Care 10th Street a real provider?
This page reflects official NPPES data for NPI 1033344197. Always confirm identity and privileges with the practice and licensing boards.

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