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Dr. Amanda Michelle Groden , DO

Pediatrics β€’ Tulsa, OK

Active NPI 1912407305 Individual Practitioner Female Practitioner
Practice location in NPPES

10109 E 79th St
Tulsa, OK 741334564

Call 9182339550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10109 E 79th St

Tulsa, OK 741334564

Telephone 9182339550
Organization at the Same NPPES Address or Phone
Ctca Physicans Group Of Oklahoma, Inc Facility NPI 1053309591

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Eufaula, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Groden has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Groden as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tulsa and Oklahoma

158 active clinicians are listed under Pediatrics with a practice address in Tulsa, OK (707 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tulsa

0% of these 158 clinicians have the CMS telehealth indicator.

1.9% of these 158 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OK 6665

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220426002217

Enrollment State Jurisdiction

OK

PECOS Control ID

6002213089

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

500 Eunice Burns Rd

Eufaula, OK 744324052

Phone: 9186892547

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Ryley Andersen , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1528646940

Doctor of Podiatric Medicine

Dr. Aimee Borazanci , MD

Psychiatry & Neurology - Neurology

NPI 1053522847

Doctor of Medicine (M.D.)

Dr. Alberto Chong , DO

Family Medicine

NPI 1336645621

Doctor of Osteopathic Medicine (D.O.)

Dr. Clayton Flanary , DO

Internal Medicine

NPI 1740215680

Doctor of Osteopathic Medicine (D.O.)

Kennedy Garcia , PA

Family Medicine

NPI 1649937731

Physician Assistant

Brooke Hall , PA-C

Physician Assistant - Medical

NPI 1275286254

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 22, 2026

Registered at 10109 E 79TH ST, TULSA, OK 741334564 (Tel: 9182339550)

πŸ“
Updated Business Mailing Address June 22, 2026

Registered at 925 W K ST, JENKS, OK 740372558

πŸ‘€
Provider Name / Credentials Updated June 22, 2026

Recorded as AMANDA GRODEN, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2026

Pediatrics (license number reported to NPPES: OK 6665)

βœ…
NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 13, 2018

Registered at 717 S HOUSTON AVE FL 4, TULSA, OK 741279023 (Tel: 9183824600)

πŸ“
Business Mailing Address (Initial Record) February 13, 2018

Registered at 1497 E 137TH PL, GLENPOOL, OK 740333219

πŸ‘€
Provider Name / Credentials (Initial Record) February 13, 2018

Recorded as AMANDA GRODEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 13, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912407305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2018
Last Update: June 22, 2026
Sole Proprietor: Yes

Other Pediatrics Specialists in Tulsa

All Pediatrics Specialists in Tulsa

Mailing Address

925 W K St

Jenks, OK 740372558

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.