Individual provider Active NPI

Cormac Arthur Sookram, M.D.

  • Family Medicine Physician
  • Bethel, AK
National Provider Identifier
1437491107
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188111 Issued in AK
Practice address
430 Main St.
Bethel, AK 99559
Phone
(907) 543-3773
Fax
(907) 543-3545
NPI assigned
Mar 20, 2013
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 188111 AK Primary
Pediatrics Physician 208000000X 188111 AK

Addresses

Primary practice location

430 Main St.
Bethel, AK 99559

Mailing address

PO Box 1908
Bethel, AK 99559-1908
Phone (907) 543-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20250708001298 AK Practitioner - Pediatric Medicine 0941437156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethel Family ClinicGroup PAC ID 7719876416, 4 clinicians

Practice addresses (Care Compare)

430 Main St
Bethel, AK 99559-4121
Phone (907) 543-3773

PO Box
Suite 1908
Bethel, AK 99559

PO Box
Suite 1908
Bethel, AK 99559-1908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188111AKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Family Clinic Current Accepting new patients
MC Children's Doctor Pediatrics Current Accepting new patients
Bethel Family Clinic CurrentSince Jun 24, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1437491107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591908",
            "telephone_number": "907-543-3773",
            "fax_number": "907-543-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN ST.",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-3773",
            "fax_number": "907-543-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOKRAM",
        "first_name": "CORMAC",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "188111",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "188111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, AK

Sources for this page

Verify at the official NPI Registry.