TAHLEQUAH MEDICAL GROUP LLC
NPI 1881960771
Family Medicine in Tahlequah, OK
About Tahlequah Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAHLEQUAH MEDICAL GROUP LLC (NPI 1881960771) is a healthcare organization registered as a family medicine in Tahlequah, Oklahoma and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through December 25, 2026 and lists James Berry, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Accepted 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)
Tahlequah Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Tahlequah Medical Group LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 42Tahlequah, OK 74464
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 for Provider-Performed Microscopy Procedures (PPMP) 37D1058618
Tahlequah Medical Group Primary Care · 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 Medical Group LLC's NPI number?
The NPI number for Tahlequah Medical Group LLC is 1881960771. It was assigned to this organization in the NPPES registry on March 26, 2012.
Where is Tahlequah Medical Group LLC located?
Tahlequah Medical Group LLC is located at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.
What is Tahlequah Medical Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tahlequah Medical Group LLC enrolled in Medicare?
Yes. Tahlequah Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tahlequah Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 14 Medicare specialties reassign their Medicare billing to Tahlequah Medical Group 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. The largest specialties are Nurse Practitioner (15), Neurology (7) and Internal Medicine (5). Of these, 6 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tahlequah Medical Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D1058618) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tahlequah Medical Group LLC 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 Tahlequah Medical Group LLC 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 Tahlequah Medical Group LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tahlequah Medical Group Llc · NPI 1881960771
Family Medicine organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since March 26, 2012.
## Identity
- **NPI:** 1881960771 (Entity type: Organization)
- **Enumerated:** March 26, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Tahlequah Hospital Authority)
- **Authorized official:** James Berry, CEO
## Practice location
- **Address:** 1400 E DOWNING ST, Tahlequah, OK 74464-3324
- **Phone:** (918) 456-0641 · **Fax:** (918) 453-2341
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Neurology (7), Internal Medicine (5); 6 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1881960771/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881960771) · Data from the CMS NPPES public registry.