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

Dr. Blake Justin Lesselroth, MD, MBI

Individual provider Internal Medicine Physician · NPI 1801997390

Dr. Blake Justin Lesselroth, MD, MBI is an Internal Medicine in Tulsa, Oklahoma. Graduated from Tulane University School of Medicine in 2000, 26 years ago. Practices with Board of Regents of the University of Oklahoma Ou Physicians Tulsa, a 82-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Oregon.

Years since qualifying
26
Trained at
Tulane University School of Medicine
Licensed in
OK, OR
In the registry since
2006
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

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 660-3596
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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 34337 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD24554 (OR)

Record details

NPI number1801997390
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBI
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESDecember 14, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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