Prairie Gardens Medical LLC
NPI 1669080891ActiveOrganization· General Practice· Oklahoma City, OK
General Practice in Oklahoma City, Oklahoma, registered in NPPES in July 2020. The authorized official on file is Dianne G. Tupper, RN/OPAC, Managing Partner.
Overview
| NPI | 1669080891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2020 |
| Last updated in NPPES | Sep 16, 2020 |
| Certified by provider | Sep 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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