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

Individual provider Internal Medicine Physician · NPI 1669663811

Dr. Kishore Vipperla, MD is a Gastroenterology in Tulsa, Oklahoma. Qualified in 2001, 25 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Pennsylvania.

Years since qualifying
25
Licensed in
OK, PA
In the registry since
2007
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

1145 S Utica Ave Ste 701
Tulsa, OK 74104-4019
Phone: (918) 582-6544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 38015 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD437549 (PA)

Record details

NPI number1669663811
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2007
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address1145 S Utica Ave Ste 110, Tulsa, OK 74104-4013

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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