Northside Family Practice PLLC
NPI 1205103231 · Internal Medicine Physician · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Family Practice PLLC is a Internal Medicine Physician organization in Tulsa, OK (NPI 1205103231).
Provider details
- NPI number
- 1205103231
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Prakash George, Cfo(918) 704-9408
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-11-18
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Frequently asked questions
- What is Northside Family Practice PLLC's NPI number?
- Northside Family Practice PLLC's National Provider Identifier (NPI) is 1205103231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Family Practice PLLC?
- Northside Family Practice PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northside Family Practice PLLC located?
- Northside Family Practice PLLC's practice location on file with NPPES is 3606 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6447.
- What is Northside Family Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northside Family Practice PLLC is (918) 794-3536.
- Does Northside Family Practice PLLC accept Medicare?
- Northside Family Practice PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northside Family Practice PLLC?
- The authorized official listed on Northside Family Practice PLLC's NPPES record is Prakash George, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Family Practice PLLC's NPI active?
- Yes — Northside Family Practice PLLC's NPI (1205103231) is active in the NPPES registry as of the last update on 2025-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.