Tahlequah Medical Group LLC
NPI 1881960771ActiveOrganization· Family Medicine· Tahlequah, OK
Family Medicine in Tahlequah, Oklahoma, registered in NPPES in March 2012, part of Tahlequah Hospital Authority. The authorized official on file is James Berry, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881960771 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tahlequah Hospital Authority |
| NPI issued | Mar 26, 2012 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Surgery | 208600000X | — | — |
| Urology | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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