Pavankumar Bommasamudram, MD - Medicare Internal Medicine in Tulsa, OK

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Pavankumar Bommasamudram, MD is a medicare enrolled "Internal Medicine" physician in Tulsa, Oklahoma. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Healthfirst Physicians Management Services, Inc., Bryan Medical Center, Creek Nation Hospital And Clinics, Osumc Professional Services Llc, Ahs Oklahoma Physician Group Llc, Creek Nation Hospital And Clinics, Cherokee Nation, St Bernards Hospital Inc., Jennie Edmundson Memorial Hospital and his current practice location is 1705 E 19th St, Ste #302, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 748-7585.

Pavankumar Bommasamudram is licensed to practice in Oklahoma (license number 27309) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639306293.

Contact Information

Pavankumar Bommasamudram, MD
1705 E 19th St, Ste #302,
Tulsa, OK 74104-5405
(918) 748-7585
(918) 748-7539

Map and Direction




Physician's Profile

Full NamePavankumar Bommasamudram
GenderMale
SpecialityInternal Medicine
Experience16 Years
Location1705 E 19th St, Tulsa, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pavankumar Bommasamudram graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1639306293
  • Provider Enumeration Date: 06/22/2009
  • Last Update Date: 12/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779749478
  • Enrollment ID: I20120725000093

Medical Identifiers

Medical identifiers for Pavankumar Bommasamudram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639306293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 27309 (Oklahoma)Primary
207R00000XInternal Medicine 04-41542 (Kansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Anthony Hospital - Oklahoma CityOklahoma city, OKHospital
Cherokee Nation W W Hastings Indian HospitalTahlequah, OKHospital
Methodist Jennie EdmundsonCouncil bluffs, IAHospital
Creek Nation Community HospitalOkemah, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthfirst Physicians Management Services, Inc.418367450027
Bryan Medical Center428462865237
Creek Nation Hospital And Clinics5698786226277
Osumc Professional Services Llc923425401226
Ahs Oklahoma Physician Group Llc9436122496302
Creek Nation Hospital And Clinics5698786226277
Cherokee Nation5799698742361
St Bernards Hospital Inc.0941105480150
Jennie Edmundson Memorial Hospital953706483743

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. Pavankumar Bommasamudram allows following entities to bill medicare on his behalf.
Entity NameSt John Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867
Entity NameAhs Oklahoma Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235182775
PECOS PAC ID: 9436122496
Enrollment ID: O20040817001197
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366593923
PECOS PAC ID: 5698786226
Enrollment ID: O20070821000130
Entity NameHealthfirst Physicians Management Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891962460
PECOS PAC ID: 4183674500
Enrollment ID: O20081113000308
Entity NameOsumc Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922325992
PECOS PAC ID: 9234254012
Enrollment ID: O20100916000969
Entity NameMidwest Hospital Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124388855
PECOS PAC ID: 4880841618
Enrollment ID: O20120829000397
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20180326002260
Entity NameRural Wellness Fairfax Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295362564
PECOS PAC ID: 3678904752
Enrollment ID: O20200506001548
Entity NameBryan Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497809966
PECOS PAC ID: 4284628652
Enrollment ID: O20201105000607
Entity NameRural Wellness Stroud Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609532282
PECOS PAC ID: 7113310491
Enrollment ID: O20220209000912
Entity NameRural Wellness Anadarko Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538825120
PECOS PAC ID: 3274926100
Enrollment ID: O20220216002693

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. Pavankumar Bommasamudram 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
Pavankumar Bommasamudram, MD
1705 E 19th St, Ste #302,
Tulsa, OK 74104

Ph: (918) 748-7585		Pavankumar Bommasamudram, MD
1705 E 19th St, Ste #302,
Tulsa, OK 74104-5405

Ph: (918) 748-7585

Reviews and Comments


Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136
Phone: 918-494-8500    Fax: 918-307-5578
Julia Margaret Kwon, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104
Phone: 918-748-7585    Fax: 918-748-7539
Peter Madden, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4502 E 41st St, Tulsa, OK 74135
Phone: 918-619-4400    
Thao Tran, D.O
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4502 E. 41st Street, Tulsa, OK 74135
Phone: 918-619-4400    
Prasoonkumar Yendluri, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6161 S Yale Ave, Tulsa, OK 74136
Phone: 918-502-1900    Fax: 918-494-6303
Robert Peter Aran, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136
Phone: 918-497-3300    Fax: 918-497-3365
Robert Dean Okada, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136
Phone: 918-494-5300    Fax: 918-494-5455

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.