Supreme Healthcare PLLC
NPI 1326631862 · Family Medicine Physician · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Healthcare PLLC is a Family Medicine Physician organization in Tulsa, OK (NPI 1326631862).
Provider details
- NPI number
- 1326631862
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kandy Keeney, Manager(918) 845-5498
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
5 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
- 2021-02-16
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Supreme Healthcare PLLC's NPI number?
- Supreme Healthcare PLLC's National Provider Identifier (NPI) is 1326631862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Healthcare PLLC?
- Supreme Healthcare PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Supreme Healthcare PLLC located?
- Supreme Healthcare PLLC's practice location on file with NPPES is 4619 S Harvard Ave Ste 100, Tulsa, OK 74135-2921.
- What is Supreme Healthcare PLLC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Healthcare PLLC is (918) 619-9441.
- Does Supreme Healthcare PLLC accept Medicare?
- Supreme Healthcare 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 Supreme Healthcare PLLC?
- The authorized official listed on Supreme Healthcare PLLC's NPPES record is Kandy Keeney, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Healthcare PLLC's NPI active?
- Yes — Supreme Healthcare PLLC's NPI (1326631862) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.