The Perinatal Center of Oklahoma, PLLC – Maternal & Fetal Medicine Physician, NPI 1942217815
Maternal & Fetal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The Perinatal Center of Oklahoma, PLLC
3501 24th Ave NW Ste 101
Norman, OK 730696665
Phone: (405) 801-2542
Fax: (405) 801-2564
Type: Location
2000 S Wheeling Ave Ste 920
Tulsa, OK 741045649
Phone: (918) 947-5980
Fax: (405) 746-2230
Type: Location
5414 W Pinnacle Pointe Dr Ste 300
Rogers, AR 727588956
Phone: (405) 748-4726
Fax: (405) 607-8761
Type: Location
3435 NW 56th St Ste 303
Oklahoma City, OK 731124414
Phone: (405) 606-2850
Fax: (405) 606-2855
Type: Location
3224 S 70th St
Fort Smith, AR 729035050
Phone: (405) 748-4726
Fax: (405) 607-8497
Type: Location
321, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73114, United States
OKLAHOMA CITY, OK 73120
Phone: (405) 748-4726
Fax: (405) 607-8497
Type: Location
West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States
STE 321
OKLAHOMA CITY, OK 731208300
Phone: (405) 748-4726
Fax: (405) 607-8497
Type: Mailing
4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 731208300
Phone: (405) 748-4726
Fax: (405) 607-8497
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: 2018-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20040526000369 | O | Clinic/Group Practice | OK | 2023-12-31 |
| O20180806002578 | O | Clinic/Group Practice | AR | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 73069)
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