NPIMap

Individual provider Active NPI

Jonathan Harvey Soekamto, DO

  • Family Medicine Physician
  • Chickasha, OK
National Provider Identifier
1811518806
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8264 Issued in OK
Practice address
2100 W Iowa Ave Ste a
Chickasha, OK 73018-2736
Phone
(405) 224-2100
Fax
(405) 222-0776
NPI assigned
Apr 30, 2020
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 8264 OK Primary

Addresses

Primary practice location

2100 W Iowa Ave Ste a
Chickasha, OK 73018-2736

Mailing address

2100 W Iowa Ave Ste a
Chickasha, OK 73018-2736
Phone (405) 224-2100

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
I20230919002131 OK Practitioner - Family Practice 2567880313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grady Memorial HospitalGroup PAC ID 0648175778, 47 clinicians

Practice addresses (Care Compare)

2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone (405) 224-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8264OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2100 W Iowa Ave
Ste A
Chickasha, OK 73018
Phone (405) 224-2100

Interoperability endpoints

  • Direct secure messaging: jsoekamto@direct.gradymem.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1811518806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE STE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-222-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE STE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-222-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEKAMTO",
        "first_name": "JONATHAN",
        "middle_name": "HARVEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.