Tahlequah Family Medicine Clinic
NPI 1144633041 · Primary Care Clinic/Center · Tahlequah, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tahlequah Family Medicine Clinic is a Primary Care Clinic/Center organization in Tahlequah, OK (NPI 1144633041).
Provider details
- NPI number
- 1144633041
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Sumner, Physician(918) 456-8000
- License
- 14708 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-09
- Last updated
- 2014-06-09
Frequently asked questions
- What is Tahlequah Family Medicine Clinic's NPI number?
- Tahlequah Family Medicine Clinic's National Provider Identifier (NPI) is 1144633041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tahlequah Family Medicine Clinic?
- Tahlequah Family Medicine Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tahlequah Family Medicine Clinic located?
- Tahlequah Family Medicine Clinic's practice location on file with NPPES is 204 Woodlawn Ave, Tahlequah, OK 74464-3318.
- What is Tahlequah Family Medicine Clinic's phone number?
- The practice phone number listed in the NPPES registry for Tahlequah Family Medicine Clinic is (918) 456-8000.
- Does Tahlequah Family Medicine Clinic accept Medicare?
- Tahlequah Family Medicine Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tahlequah Family Medicine Clinic?
- The authorized official listed on Tahlequah Family Medicine Clinic's NPPES record is Larry Sumner, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tahlequah Family Medicine Clinic's NPI active?
- Yes — Tahlequah Family Medicine Clinic's NPI (1144633041) is active in the NPPES registry as of the last update on 2014-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.