Sopukro W Tienabeso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24308 Issued in OK

Practice address

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Phone

(918) 426-1800

NPI assigned

Jul 5, 2006

Reactivated

Apr 29, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawton Indian Hospital Hospital, Lawton, OK, CCN 370170

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223

  TX

  Medicare reassignment Care Compare group NPD
• Midwest Hospital Medicine Associates PC

  • Hospitalist Physician
  • Grove, OK
  • NPI 1124388855
  Medicare reassignment NPD
• Hughes Emergency Physicians

  • Emergency Medicine Physician
  • Holdenville, OK
  • NPI 1578513495
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
  • NPI 1881637403

  Hospital

  Care Compare affiliation
• Carnegie Indian Health Center

  • Federal Public Health Clinic/Center
  • Carnegie, OK
  • NPI 1457459158

  Hospital

  Care Compare affiliation
• Clinton Indian Health Center

  • Federal Public Health Clinic/Center
  • Clinton, OK
  • NPI 1205923448

  Hospital

  Care Compare affiliation
• El Reno Indian Health Center

  • Public Health or Welfare Agency
  • El Reno, OK
  • NPI 1386725604

  Hospital

  Care Compare affiliation
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223
  Care Compare affiliation
• Watonga Indian Health Center

  • Public Health or Welfare Agency
  • Watonga, OK
  • NPI 1558458794

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1770513442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 NW 170TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730037410",
            "telephone_number": "405-285-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-426-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIENABESO",
        "first_name": "SOPUKRO",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-04-29",
        "deactivation_date": "2026-04-29",
        "reactivation_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aj Thomason
• Breana Marie Thompson
• Kelli Thompson
• Ronda Michelle Thompson, APRN
• Jade Ashton Thornburg, PTA, ATC
• Amy Elizabeth Tingle, PHARMD
• Alissa Kay Tinney
• Jamie Ann Tippit, MSHR
• Taryn Ann Tipton, LMSW-US
• Krista Lea Todd

• Internal Medicine Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.