Active NPI
Michael T Okumura, MD
- Anesthesiology Physician
- Augusta, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301076050
- Practice address
- 10499 N 48TH St
Augusta, MI 49012-9500 - Phone
- (269) 282-7700
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301076050 | MI | Primary |
Addresses
Primary practice location
10499 N 48TH St
Augusta, MI 49012-9500
Mailing address
355 N Center Rd
Saginaw, MI 48638-5849
Phone (989) 401-8916
Other practice location 1
2329 Center St
Boyne Falls, MI 49713-9268
Phone (231) 535-2822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2329 Ctr St
Suite 1
Boyne Falls, MI 49713-9268
Phone (231) 535-2822
829 W Main St
Suite G
Gaylord, MI 49735-1998
Phone (231) 545-4140
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301076050 | MI | MD | Addiction Medicine (Family Medicine) Physician |
| 40816 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walloon Lake Recovery Lodge, LLC | Current | Accepting new patients | |
| Tri-City Treatment Center LLC | Current | Accepting new patients | |
| Jose Mari G Jurado MD PC | Past | Accepting new patients | |
| Lifetime Eyecare P C | Past | Accepting new patients | |
| Anesthesia Consultants of Knoxville, PC | Anesthesiology | Past | Accepting new patients |
| Yarrow Lodge, LLC | Past | Accepting new patients | |
| Recovery Physicians Network of Michigan | Past | Accepting new patients |
Locations
2329 Center St
Boyne Falls, MI 49713
Phone (231) 758-4566
2594 Springvale Rd
Boyne Falls, MI 49713
Phone (231) 535-2415
2329 Center St
Ste 1
Boyne Falls, MI 49713
218 Water St
Cheboygan, MI 49721
Phone (231) 751-0070
1619 W M 32
Ste 2
Gaylord, MI 49735
1325 S Otsego Ave
Gaylord, MI 49735
Phone (989) 705-2700
1619 W M 32
Gaylord, MI 49735
Phone (231) 751-0070
1342 Baldwin St
Jenison, MI 49428
2520 University Park
Mt Pleasant, MI 48858
Phone (989) 774-2529
2480 W Campus Dr
Mt Pleasant, MI 48858
Phone (989) 772-1609
355 N Center Rd
Saginaw, MI 48638
Phone (989) 401-8916
Interoperability endpoints
- michael.okumura.1@21307.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Gaylord, MI
- NPI 1609427541
-
- Medical Specialty Clinic/Center
- Saginaw, MI
- NPI 1205484052
-
- Substance Abuse Rehabilitation Facility
- Boyne Falls, MI
- NPI 1750791505
-
- Anesthesiology Physician
- Lapeer, MI
- NPI 1497797153
-
- Physical Medicine & Rehabilitation Physician
- Saginaw, MI
- NPI 1669567392
-
- Optometrist
- Jenison, MI
- NPI 1285836213
-
- Addiction (Substance Use Disorder) Psychologist
- Augusta, MI
- NPI 1780047365
-
- Substance Abuse Rehabilitation Facility
- Augusta, MI
- NPI 1427411008
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1669449518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1720006224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 N CENTER RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486385849",
"telephone_number": "989-401-8916",
"fax_number": "833-200-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10499 N 48TH ST",
"city": "AUGUSTA",
"state": "MI",
"postal_code": "490129500",
"telephone_number": "269-282-7700"
}
],
"practiceLocations": [
{
"address_1": "2329 Center St",
"address_purpose": "LOCATION",
"city": "Boyne Falls",
"state": "MI",
"postal_code": "497139268",
"country_code": "US",
"telephone_number": "231-535-2822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKUMURA",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301076050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.