Individual provider Active NPI

John L Okemah, MD

  • Internal Medicine Physician
  • Tulalip, WA
National Provider Identifier
1972615367
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22292 Issued in OK
Practice address
7520 Totem Beach Rd
Tulalip, WA 98271-6160
Phone
(360) 716-4511
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22292 OK Primary

Addresses

Primary practice location

7520 Totem Beach Rd
Tulalip, WA 98271-6160

Mailing address

7520 Totem Beach Rd
Tulalip, WA 98271-6160
Phone (360) 716-4511

Other identifiers 1

IdentifierTypeStateIssuer
1689863515MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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

Enrollment IDStateProvider typePAC IDDetails
I20180404001694 CA Practitioner - Internal Medicine 2062411440 Reassigns benefits to 1 organization
I20200406002897 TX Practitioner - Internal Medicine 2062411440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Hills ClinicGroup PAC ID 6901093681, 13 clinicians

Practice addresses (Care Compare)

2540 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 690-2778

740 Solano St
Corning, CA 96021-3352
Phone (530) 690-2827

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Clinic CurrentSince Oct 15, 2024 Accepting new patients
Rolling Hills Clinic Internal Medicine CurrentSince Oct 15, 2024 Accepting new patients
Native American Health Center, Inc CurrentSince Feb 17, 2018 Accepting new patients
Tulalip Tribes of Washington CurrentSince Feb 3, 2020 Accepting new patients
Tulalip Tribes of Washington CurrentSince Feb 3, 2020 Accepting new patients
Native American Health Center, Inc Current Accepting new patients
Native American Health Center, Inc CurrentSince Feb 17, 2018 Accepting new patients
Public Hospital District No 1 of Snohomish County Past Accepting new patients

Locations

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

706 Peach St
Corning, CA 96021
Phone (530) 690-2827

3124 International Blvd
#2D
Oakland, CA 94601

2920 International Blvd
Oakland, CA 94601
Phone (510) 485-5903

2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948

2526 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-4190

2540 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 528-8899

160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

6406 Marine Dr
Ste A
Tulalip, WA 98271

Organizations & group practices 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1972615367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716160",
            "telephone_number": "360-716-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716160",
            "telephone_number": "360-716-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEMAH",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689863515",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulalip, WA

Sources for this page

Verify at the official NPI Registry.