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Deactivated NPI 1225126329 Deactivated / Inactive NPI Female Practitioner

Dr. Beverly J Mathis , DO

Internal Medicine - Nephrology • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Beverly Mathis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date October 04, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Beverly Mathis, DO was a registered Internal Medicine - Nephrology practicing in Tulsa, OK. Throughout an active medical career spanning 11 years, Dr. Mathis provided care at the practice location at 802 SOUTH JACKSON until profile deactivation on 2017-10-04.

Historical Medicare Part B clinical services included dialysis services, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

802 South Jackson
Suite 301

Tulsa, OK 74127

Telephone 9185823154
Fax 9185823593
Associated Practice Facility / Clinic
🏢 Heart Care Of Tulsa, Inc. Facility NPI 1497965818

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
45 Specialists

Practicing in Tulsa, OK (119 Statewide)

Telehealth Adoption Rate
51.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
44 26 $350.00 $271.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 26 $150.00 $101.24

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License OK 2181

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Ruth Fritz , CNS

Nurse Practitioner

NPI 1053468215

Clinical Nurse Specialist

Dr. Kenneth Calabrese , DO

Internal Medicine - Nephrology

NPI 1073601175

Doctor of Osteopathic Medicine (D.O.)

Anne Schmidt , APRN CNS

Nurse Practitioner

NPI 1144419318

APRNCNS

Heidrun Tingey , CNS

Nurse Practitioner - Family

NPI 1376111799

Clinical Nurse Specialist

Dr. Sohail Kareem , MD

Internal Medicine - Nephrology

NPI 1396760112

Doctor of Medicine (M.D.)

Kristen Monroe

Nurse Practitioner - Family

NPI 1497570105

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 04, 2017

Record deactivated on October 04, 2017

NPI Profile Active June 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2011

Registered at 802 SOUTH JACKSON, SUITE 301, TULSA, OK 74127 (Tel: 9185823154)

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Updated Business Mailing Address June 06, 2011

Registered at 802 SOUTH JACKSON, SUITE 301, TULSA, OK 74127 (Tel: 9185823154)

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Provider Name / Credentials Updated June 06, 2011

Recorded as BEVERLY MATHIS, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Internal Medicine (License #2181 in OK)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225126329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: June 06, 2011
Deactivation Date: October 04, 2017

Mailing Address

802 South Jackson, Suite 301

Tulsa, OK 74127

Phone: 9185823154

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.