TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC
NPI 1780808980
Specialist in Tahlequah, OK
About Tahlequah Orthopedic Surgery Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC (NPI 1780808980) is a healthcare organization registered as a specialist in Tahlequah, Oklahoma and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through November 13, 2026 and lists Christopher Sarrett Deloache, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tahlequah Orthopedic Surgery Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tahlequah Orthopedic Surgery Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 37D2043216
Tahlequah Orthopedic Surgery And Sports Medicine · Tahlequah, OKFrequently 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 Tahlequah Orthopedic Surgery Services, LLC's NPI number?
The NPI number for Tahlequah Orthopedic Surgery Services, LLC is 1780808980. It was assigned to this organization in the NPPES registry on April 12, 2007.
Where is Tahlequah Orthopedic Surgery Services, LLC located?
Tahlequah Orthopedic Surgery Services, LLC is located at 1373 E. Boone St. Suite 3401, Tahlequah, OK 74464. The listed phone number is (918) 456-6848.
What is Tahlequah Orthopedic Surgery Services, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Tahlequah Orthopedic Surgery Services, LLC enrolled in Medicare?
Yes. Tahlequah Orthopedic Surgery Services, LLC is registered in the Medicare PECOS enrollment system.
When is Tahlequah Orthopedic Surgery Services, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tahlequah Orthopedic Surgery Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Tahlequah Orthopedic Surgery Services, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tahlequah Orthopedic Surgery Services, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 37D2043216) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tahlequah Orthopedic Surgery Services, LLC was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Tahlequah Orthopedic Surgery Services, Llc · NPI 1780808980
Specialist organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1780808980 (Entity type: Organization)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Christopher Deloache, OWNER
## Practice location
- **Address:** 1373 E. BOONE ST., SUITE 3401, Tahlequah, OK 74464-3379
- **Phone:** (918) 456-6848 · **Fax:** (918) 456-1150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2012
- **Other identifiers:** Other 448746259004 (OK); Medicare NSC 5296460001 (OK); Medicaid 200076030A (OK); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780808980) · Data from the CMS NPPES public registry.