Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pavankumar Bommasamudram, MD

Individual provider Internal Medicine Physician · NPI 1639306293

Pavankumar Bommasamudram, MD is a Hospitalist in Tulsa, Oklahoma. Qualified in 2008, 18 years ago. Practices with Cherokee Nation, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Oklahoma.

Years since qualifying
18
Licensed in
KS, OK
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1705 E 19th St Ste #302
Tulsa, OK 74104-5405
Phone: (918) 748-7585
Fax: (918) 748-7539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27309 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 04-41542 (KS)

Record details

NPI number1639306293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESDecember 5, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Cherokee Nation — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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