Revelation Medical of Tulsa LLC
NPI 1366194110 · Pain Medicine (Anesthesiology) Physician · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revelation Medical of Tulsa LLC is a Pain Medicine (Anesthesiology) Physician organization in Tulsa, OK (NPI 1366194110).
Provider details
- NPI number
- 1366194110
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Linn, Authorized Official(918) 742-4005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-01-24
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Frequently asked questions
- What is Revelation Medical of Tulsa LLC's NPI number?
- Revelation Medical of Tulsa LLC's National Provider Identifier (NPI) is 1366194110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revelation Medical of Tulsa LLC?
- Revelation Medical of Tulsa LLC is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Revelation Medical of Tulsa LLC located?
- Revelation Medical of Tulsa LLC's practice location on file with NPPES is 4636 S Harvard Ave Ste 104, Tulsa, OK 74135-2908.
- What is Revelation Medical of Tulsa LLC's phone number?
- The practice phone number listed in the NPPES registry for Revelation Medical of Tulsa LLC is (918) 742-4005.
- Does Revelation Medical of Tulsa LLC accept Medicare?
- Revelation Medical of Tulsa LLC 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 Revelation Medical of Tulsa LLC?
- The authorized official listed on Revelation Medical of Tulsa LLC's NPPES record is James Linn, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revelation Medical of Tulsa LLC's NPI active?
- Yes — Revelation Medical of Tulsa LLC's NPI (1366194110) is active in the NPPES registry as of the last update on 2023-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.