1. Home
  2. Directory
  3. Oklahoma
  4. Tahlequah
  5. Emergency Medicine
  6. NPI Profile

NORTHEASTERN HEALTH SYSTEM
NPI 1457574170
Emergency Medicine in Tahlequah, OK

Active since April 11, 2007
1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-0641(918) 453-2341 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Apr 6, 2026 (2 updates tracked since 2026).

About Northeastern Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEASTERN HEALTH SYSTEM (NPI 1457574170), doing business as Tahlequah Hospital Authority, is a healthcare organization registered as an emergency medicine in Tahlequah, Oklahoma and active in the NPI registry since April 2007. The organization lists James Berry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457574170
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameNORTHEASTERN HEALTH SYSTEM
Location Address1400 E DOWNING STTahlequah, OK 74464-3324
Mailing Address1400 E Downing StTahlequah, OK 74464-3324 · (918) 456-0641 · Fax (918) 453-2341
Phone(918) 456-0641
Fax(918) 453-2341
Organization SubpartNo
Authorized OfficialJames BerryCeo · (918) 456-0641
Enumeration DateApril 11, 2007
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1457574170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 2178
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1400 E DOWNING ST, Tahlequah, OK 74464
Open in Google Maps ↗

Other Names 1

Former Legal Business NameTahlequah Hospital Authority

Other Identifiers 1

Medicaid100700680DOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeastern Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

157

Medicare enrollment records show 157 clinicians reassign Medicare billing to Northeastern Health System, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Certified Registered Nurse Anesthetist (CRNA)32
Nurse Practitioner27
Internal Medicine19
Emergency Medicine17
Neurology10
General Surgery8
Hospitalist8
Anesthesiology5
19 other specialties31

Nearest to this location (20)

See all 157
Jason Ballew, MD
Emergency Medicine
NPI 1235146036
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOSSame address
Saqib Chaudhry, MD
Neurology
NPI 1902168438
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts MedicareSame address
Vishal Jani, M.D.
Neurology
NPI 1134350069
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts MedicareSame address
Jennifer Mathis, MD
Family Practice
NPI 1548304892
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOSSame address
William Myers, D.O
General Surgery
NPI 1134204852
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts MedicareSame address
Samiya Rashid, DO
Neurology
NPI 1831139682
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts MedicareSame address
Seth Scantling
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093504763
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ Accepts MedicareSame address
Paula Guinnip, M.D.
Thoracic Surgery
NPI 1023239720
205 HARRIS CIR STE 202
Tahlequah, OK 74464
(918) 485-0068
✔ PECOS✔ Accepts Medicare0.3 mi
David Rotton, DO, FACOS
General Surgery
NPI 1548218803
205 HARRIS CIR
Tahlequah, OK 74464
(918) 207-1140
✔ PECOS✔ Accepts Medicare0.3 mi
Bilal Aziz, MD
Nephrology
NPI 1063725901
1373 E BOONE ST SUITE 1201
Tahlequah, OK 74464
(918) 207-1189
✔ PECOS✔ Accepts Medicare0.4 mi
Prashant Kaushik, MD
Rheumatology
NPI 1073615324
1373 E BOONE ST STE 2300
Tahlequah, OK 74464
(918) 207-0025
✔ PECOS✔ Accepts Medicare0.4 mi
Celeste Bidwell, APRN
Nurse Practitioner
NPI 1184394751
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts Medicare0.4 mi
Riley English, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215776414
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ Accepts Medicare0.4 mi
Jared Fink, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871332585
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ Accepts Medicare0.4 mi
Landon Frank
Internal Medicine
NPI 1427625714
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts Medicare0.4 mi
Kelly Marak, D.O., M.S.
Hospitalist
NPI 1316174675
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 456-0641
✔ PECOS✔ Accepts Medicare0.4 mi
Sana Syed, M.D.
Neurology
NPI 1508093675
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 453-2111
✔ PECOS✔ Accepts Medicare0.4 mi
Diego Humphrey, MD
Cardiovascular Disease (Cardiology)
NPI 1073525515
1500 E. DOWNING #
Tahlequah, OK 74464
(918) 207-0882
✔ PECOS✔ Accepts Medicare0.5 mi
Mary Moore, D.O.
Emergency Medicine
NPI 1902837776
100 S BLISS AVE
Tahlequah, OK 74464
(918) 458-3104
✔ PECOS✔ Accepts Medicare0.5 mi
Lana Myers, D.O.
Family Practice
NPI 1164403986
1201 EAST ROSS BYPASS
Tahlequah, OK 74464
(918) 207-0991
✔ PECOS✔ Accepts Medicare0.5 mi
See all 157 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeastern Health System's NPI number?

The NPI number for Northeastern Health System is 1457574170. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider was formerly known as Tahlequah Hospital Authority.

Where is Northeastern Health System located?

Northeastern Health System is located at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.

What is Northeastern Health System's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Northeastern Health System enrolled in Medicare?

Yes. Northeastern Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 27 Medicare specialties reassign their Medicare billing to Northeastern Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (32), Nurse Practitioner (27) and Internal Medicine (19). Of these, 7 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeastern Health System accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Northeastern Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeastern Health System was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.