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

Ahmad Mismar, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780206730

Ahmad Mismar, MD is an Internal Medicine in Tulsa, Oklahoma. Qualified in 2014, 12 years ago. Practices with St John Physicians, Inc, a 264-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1705 E 19th St Ste 201
Tulsa, OK 74104-5404
Phone: (918) 403-7100
Fax: (918) 403-6404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Detroit Medical Center - Sinai Grace Hospital, Departme, Detroit, MI 48235 — (313) 966-7434

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 44868 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780206730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St. John Physicians, Inc. — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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