NPIMap

Individual provider Active NPI

James Mark Seratt, MD

  • Family Medicine Physician
  • Tahlequah, OK
National Provider Identifier
1568453918
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15674 Issued in OK
Practice address
22408 Highway 51
Tahlequah, OK 74464-2058
Phone
(918) 456-6250
Fax
(918) 456-4080
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 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 15674 OK Primary

Addresses

Primary practice location

22408 Highway 51
Tahlequah, OK 74464-2058

Mailing address

PO Box 59
Tahlequah, OK 74465-0059
Phone (918) 456-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000911 OK Practitioner - Family Practice 4385828540 Reassigns benefits to 1 organization
Practice locations: Tahlequah, OK

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

1373 E Boone St
Tahlequah, OK 74464-3365

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

1500 E Downing St
Suite 103
Tahlequah, OK 74464-3354
Phone (918) 207-1410

205 Harris Cir
Tahlequah, OK 74464-8849
Phone (918) 456-0641

22408 Hwy 51
Tahlequah, OK 74464-2058
Phone (918) 456-6250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Jan 1, 2026 Accepting new patients
Tahlequah City Hospital CurrentSince Jan 1, 2026 Accepting new patients
Eastside Clinic Family Medicine CurrentSince Jun 12, 2002 Accepting new patients
Northeastern Health System Past Accepting new patients
Cherokee County Nursing Center Inc Past Accepting new patients
East Shawnee Nursing Center L L C Past Accepting new patients

Locations

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

22408 Highway 51
Tahlequah, OK 74464
Phone (918) 456-6250

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
N/aTahlequah, OK, CCN 375324 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 10, 2024
Dec 10, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 11

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568453918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744650059",
            "telephone_number": "918-456-6250",
            "fax_number": "918-456-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22408 HIGHWAY 51",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642058",
            "telephone_number": "918-456-6250",
            "fax_number": "918-456-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERATT",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "15674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.