Individual provider Active NPI

Robert Jordan Lakko, D.O.

  • Family Medicine Physician
  • Kingman, AZ
National Provider Identifier
1174756340
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0886 Issued in ID
Practice address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 681-8577
NPI assigned
Sep 3, 2009
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0886 ID Primary
Family Medicine Physician 207Q00000X 20300 MT

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

PO Box 3648
Coeur D Alene, ID 83816-2522
Phone (208) 292-0292

Other practice location 1

1090 W Park Pl
Coeur D Alene, ID 83814-2785
Phone (208) 292-0292

Other identifiers 1

IdentifierTypeStateIssuer
O-0886OtherIDID STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, VA, IA, OR, AZ, KS, WV7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20151007000620 ID Practitioner - Family PracticePractitioner - Hospitalist 2062648132 Reassigns benefits to 4 organizations
I20250116001854 VA Practitioner - Family Practice 2062648132 Reassigns benefits to 1 organization
I20250808003740 IA Practitioner - Family Practice 2062648132 Reassigns benefits to 1 organization
I20250819003176 OR Practitioner - Family Practice 2062648132 Reassigns benefits to 1 organization
I20250923002090 AZ Practitioner - Family Practice 2062648132 Reassigns benefits to 1 organization
I20251114000580 KS Practitioner - Family Practice 2062648132 Reassigns benefits to 1 organization
I20251204001682 WV Practitioner - Family Practice 2062648132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coeur D Alene Primary Care PLLCGroup PAC ID 8729216171, 9 clinicians
Apogee Medical Group Iowa PCGroup PAC ID 2860572484, 21 clinicians
Apogee Medical Group Virginia PCGroup PAC ID 0345310256, 34 clinicians

Practice addresses (Care Compare)

100 McKinley Ave
Kellogg, ID 83837-2502
Phone (208) 667-2600

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2225

920 W Ironwood Dr
Suite 200
Coeur D Alene, ID 83814-2643
Phone (208) 667-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4806WVMDDentist
20300MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Inc CurrentSince Sep 9, 2025 Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Oct 29, 2025 Accepting new patients
Apogee Medical Group Iowa PC CurrentSince Aug 1, 2025 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Aug 12, 2017 Accepting new patients
Apogee Medical Group Inc CurrentSince Sep 9, 2025 Accepting new patients
Apogee Medical Group Kansas PA CurrentSince Nov 1, 2025 Accepting new patients
Apogee Medical Group PC CurrentSince Aug 4, 2025 Accepting new patients
Apogee Medical Group Virginia, PC CurrentSince Jan 2, 2025 Accepting new patients
Apogee Medical Group PC CurrentSince Aug 4, 2025 Accepting new patients
Coeur D Alene Primary Care PLLC CurrentSince Feb 24, 2019 Accepting new patients
Meza Post Acute and Long Term Care, PLLC CurrentSince Apr 1, 2024 Accepting new patients
RCHP Ottumwa LLC Past Accepting new patients
Apogee Behavioral Medicine Virginia PC PastSince Mar 24, 2025 Accepting new patients
Radia Inc P S PastSince Mar 1, 2022 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

2426 N Merritt Creek Loop
Ste A
Coeur D Alene, ID 83814
Phone (208) 668-7000

920 W Ironwood Dr
Ste 200
Coeur D Alene, ID 83814
Phone (208) 667-2600

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

100 McKinley Ave
Kellogg, ID 83837
Phone (208) 586-5588

600 N Cecil Rd
Post Falls, ID 83854
Phone (208) 262-2800

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 7

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174756340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3648",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162522",
            "telephone_number": "208-292-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-681-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 W Park Pl",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142785",
            "country_code": "US",
            "telephone_number": "208-292-0292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKKO",
        "first_name": "ROBERT",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0886",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "20300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID STATE LICENSE",
            "identifier": "O-0886",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.