Tahlequah Medical Group LLC
NPI 1881960771 · Family Medicine Physician · Tahlequah, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tahlequah Medical Group LLC is a Family Medicine Physician organization in Tahlequah, OK (NPI 1881960771).
Provider details
- NPI number
- 1881960771
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Tahlequah Hospital Authority
- Organization subpart
- Yes
- Authorized official
- James Berry, Ceo(918) 456-0641
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-03-26
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Tahlequah Medical Group LLC's NPI number?
- Tahlequah Medical Group LLC's National Provider Identifier (NPI) is 1881960771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tahlequah Medical Group LLC?
- Tahlequah Medical Group LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tahlequah Medical Group LLC located?
- Tahlequah Medical Group LLC's practice location on file with NPPES is 1400 E Downing St, Tahlequah, OK 74464-3324.
- What is Tahlequah Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Tahlequah Medical Group LLC is (918) 456-0641.
- Does Tahlequah Medical Group LLC accept Medicare?
- Tahlequah Medical Group LLC 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 Medical Group LLC?
- The authorized official listed on Tahlequah Medical Group LLC's NPPES record is James Berry, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tahlequah Medical Group LLC's NPI active?
- Yes — Tahlequah Medical Group LLC's NPI (1881960771) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.