Individual provider Active NPI

Jake Cho, MD

  • Internal Medicine Physician
  • Boise City, OK
National Provider Identifier
1124551999
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47075 Issued in OK
Practice address
100 South Ellis Street
Boise City, OK 73933
Phone
(580) 544-2501
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47075 OK Primary
Nephrology Physician 207RN0300X 47075 OK

Addresses

Primary practice location

100 South Ellis Street
Boise City, OK 73933

Mailing address

100 S Ellis St
Boise City, OK 73933
Phone (580) 544-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260516000479 OK Practitioner - Internal MedicinePractitioner - Nephrology 6709266117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cimarron Memorial Hospital and Nursing HomeGroup PAC ID 5698686517, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

100 S Ellis
Boise City, OK 73933-1059

102 S Ellis
Boise City, OK 73933-1059
Phone 5805442501128

Cimarron Memorial Rural Health Clinic
102 S Ellis
Boise City, OK 73933-1025
Phone 5805442501128

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47075OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Advantage LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1124551999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ELLIS ST",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "73933",
            "telephone_number": "580-544-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ELLIS STREET",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "73933",
            "telephone_number": "580-544-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "47075",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "47075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise City, OK

Sources for this page

Verify at the official NPI Registry.