JONATHAN HARVEY SOEKAMTO DO
NPI 1811518806
Family Medicine in Chickasha, OK

Q: What is Jonathan Soekamto's NPI number?

The NPI number for Jonathan Soekamto is 1811518806. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Q: What is Jonathan Soekamto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Soekamto was last updated on February 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.

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment

2100 W IOWA AVE STE A, CHICKASHA, OK 73018(405) 224-2100(405) 222-0776 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Sep 17, 2021 (2 updates tracked since 2021).

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About Jonathan Harvey Soekamto Do NPPES

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

JONATHAN HARVEY SOEKAMTO DO (NPI 1811518806) is an individual family medicine provider in Chickasha, Oklahoma, licensed in Oklahoma (8264) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2020).

NPPES Registry Identity

NPI1811518806

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN HARVEY SOEKAMTOCredential: DO

Location Address2100 W IOWA AVE STE AChickasha, OK 73018-2736

Mailing Address2100 W Iowa Ave Ste AChickasha, OK 73018-2736 · (405) 224-2100 · Fax (405) 222-0776

Phone(405) 224-2100

Fax(405) 222-0776

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2020

Enumeration DateApril 30, 2020

Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1811518806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 8264

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2100 W IOWA AVE STE A, Chickasha, OK 73018

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Harvey Soekamto Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567880313

PECOS Enrollment IDI20230919002131

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Chickasha, OK

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number370054

Location2220 Iowa StreetChickasha, OK 73018 · Grady County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ABBY MARIE HOUSMAN D.O.

Family Medicine