Individual provider Active NPI

John Thomas Galdamez, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Tahlequah, OK
National Provider Identifier
1275641367
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2918 Issued in OK
Practice address
1400 E Downing St
Tahlequah City Hospital
Tahlequah, OK 74464-3324
Phone
(918) 456-0641
Fax
(918) 453-2359
NPI assigned
Aug 28, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2918 OK Primary

Addresses

Primary practice location

1400 E Downing St
Tahlequah City Hospital
Tahlequah, OK 74464-3324

Mailing address

Cherokee Elder Care
1387 W 4TH St
Tahlequah, OK 74464
Phone (918) 453-5554

Other identifiers 1

IdentifierTypeStateIssuer
100006330AMedicaidOK

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
I20100825001169 OK Practitioner - Internal Medicine 5799809877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahlequah Medical Group LLCGroup PAC ID 4082861349, 16 clinicians

Practice addresses (Care Compare)

1373 E Boone Street
Suite 2300
Tahlequah, OK 74464-3330
Phone (918) 456-0655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tahlequah Medical Group LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1373 E Boone St
Ste 2300
Tahlequah, OK 74464
Phone (918) 207-0025

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

1500 E Downing St
Ste 103
Tahlequah, OK 74464
Phone (918) 456-0001

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1275641367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHEROKEE ELDER CARE",
            "address_2": "1387 W 4TH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-453-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING ST",
            "address_2": "TAHLEQUAH CITY HOSPITAL",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643324",
            "telephone_number": "918-456-0641",
            "fax_number": "918-453-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDAMEZ",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "2918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.