Individual provider Active NPI

Michael T Okumura, MD

  • Anesthesiology Physician
  • Augusta, MI
National Provider Identifier
1720006224
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301076050 Issued in MI
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

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000766 MI Practitioner - Addiction MedicinePractitioner - Anesthesiology 8325012446 Reassigns benefits to 4 organizations

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
Bear River Primary CareGroup PAC ID 4284069063, 2 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076050MIMDAddiction Medicine (Family Medicine) Physician
40816TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Walloon Lake Recovery Lodge, LLC CurrentSince Oct 14, 2025 Accepting new patients
Tri-City Treatment Center LLC CurrentSince Oct 1, 2021 Accepting new patients
Jose Mari G Jurado MD PC PastSince Oct 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.