DR. MOHD OMAR QUTOB M.D NPI 1679952584

NPI Information

  • NPI: 1679952584
  • Provider Name: DR. MOHD OMAR QUTOB, M.D
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1919 S WHEELING AVE STE 600
    TULSA, OK
    ZIP 74104
  • Phone: (918) 619-4400

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NPI Details

DR. Mohd Omar Qutob, M.D is a surgical oncology surgery in Tulsa, OK with 27 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DR. Mohd Omar Qutob, M.D NPI is 1679952584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1919 S WHEELING AVE STE 600
TULSA, OK
ZIP 74104-635
Phone: (918) 619-4400
Fax: (918) 634-7560

The NPI 1679952584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 5/26/2015 and was last updated on 11/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086X0206XSurgerySurgical Oncology31642OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200600440BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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