Dr Mohd Omar Qutob, MD - Medicare Surgery in Tulsa, OK

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Dr Mohd Omar Qutob, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Tulsa, Oklahoma. His current practice location is 1919 S Wheeling Ave Ste 600, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 619-4400.

Dr Mohd Omar Qutob is licensed to practice in Oklahoma (license number 31642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679952584.

Contact Information

Dr Mohd Omar Qutob, MD
1919 S Wheeling Ave Ste 600,
Tulsa, OK 74104-5635
(918) 619-4400
(918) 634-7560

Map and Direction




Physician's Profile

Full NameDr Mohd Omar Qutob
GenderMale
SpecialitySurgery - Surgical Oncology
Location1919 S Wheeling Ave Ste 600, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679952584
  • Provider Enumeration Date: 05/26/2015
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244533842
  • Enrollment ID: I20210323002813

Medical Identifiers

Medical identifiers for Dr Mohd Omar Qutob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679952584NPI-NPPES
200600440BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086X0206XSurgery - Surgical Oncology 31642 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mohd Omar Qutob allows following entities to bill medicare on his behalf.
Entity NameBoard Of Regents Of The University Of Oklahoma - Ou Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607
Entity NameBoard Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154385730
PECOS PAC ID: 5395645329
Enrollment ID: O20040113000654
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366593923
PECOS PAC ID: 5698786226
Enrollment ID: O20070821000130
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohd Omar Qutob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mohd Omar Qutob, MD
Po Box 268838,
Oklahoma City, OK 73126-8838

Ph: (918) 619-4400		Dr Mohd Omar Qutob, MD
1919 S Wheeling Ave Ste 600,
Tulsa, OK 74104-5635

Ph: (918) 619-4400

Reviews and Comments


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Peter Richard Nelson, MD, MS
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Dr. Susan A Rose, MD
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Phone: 918-301-2505    Fax: 918-301-3633

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.