Individual provider Active NPI

Jonathan Paul Rohloff

  • Family Medicine Physician
  • McAlester, OK
National Provider Identifier
1306200548
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6242 Issued in OK
Practice address
4 E Clark Bass Blvd
Suite 300
McAlester, OK 74501-4269
Phone
(918) 421-6795
Fax
(918) 421-6791
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6242 OK Primary

Addresses

Primary practice location

4 E Clark Bass Blvd
Suite 300
McAlester, OK 74501-4269

Mailing address

2259 Green Meadows Cir
McAlester, OK 74501-3245
Phone (402) 320-0715

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
I20190703001501 OK Practitioner - Family Practice 5991039471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-6987

Hospital & facility affiliations

  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • McAlester Regional Health Center Inpatient rehabilitation facility, McAlester, OK, CCN 37T034

Merit-based Incentive Payment System (MIPS)

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

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

State licenses

LicenseStateTypeSpecialty
6242OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Medical Services, LLC Family Medicine CurrentSince Apr 20, 2023 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 7, 2024 Accepting new patients

Locations

1 E Clark Bass Blvd
#H
McAlester, OK 74501
Phone (918) 421-6941

4 E Clark Bass Blvd
Ste 300
McAlester, OK 74501
Phone (918) 421-6795

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

Organizations & group practices 2

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 1

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1306200548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 GREEN MEADOWS CIR",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013245",
            "telephone_number": "402-320-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD",
            "address_2": "SUITE 300",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014269",
            "telephone_number": "918-421-6795",
            "fax_number": "918-421-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLOFF",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.