Active NPI
John L Okemah, MD
- Internal Medicine Physician
- Tulalip, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22292
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689863515 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Clinic
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolling Hills Clinic | Current | Accepting new patients | |
| Rolling Hills Clinic | Internal Medicine | Current | Accepting new patients |
| Native American Health Center, Inc | Current | Accepting new patients | |
| Tulalip Tribes of Washington | Current | Accepting new patients | |
| Tulalip Tribes of Washington | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1669642914
CA
-
- Federally Qualified Health Center (FQHC)
- Corning, CA
- NPI 1992012306
Internal Medicine
-
- Optometrist
- Tulalip, WA
- NPI 1831946797
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1477250504
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1619147030
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.