Active NPI
Jarrett Keith Rogers
- Family Medicine Physician
- Altus, OK
National Provider Identifier
1386344752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 81669-21
- Practice address
- 301 N 1St St BLDG 46
Altus, OK 73523-5004 - Phone
- (580) 481-7082
- NPI assigned
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 81669-21 | WI | Primary |
Addresses
Primary practice location
301 N 1St St BLDG 46
Altus, OK 73523-5004
Mailing address
301 N 1St St BLDG 46
Altus, OK 73523-5004
Phone (580) 481-7082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822001492 | WI | Order and Referring Only - Other (Physician) | 9234639477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1386344752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N 1ST ST BLDG 46",
"city": "ALTUS",
"state": "OK",
"postal_code": "735235004",
"telephone_number": "580-481-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 1ST ST BLDG 46",
"city": "ALTUS",
"state": "OK",
"postal_code": "735235004",
"telephone_number": "580-481-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JARRETT",
"middle_name": "KEITH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-06",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "81669-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.