JONATHAN HARVEY SOEKAMTO (DO) – Family Medicine Physician, NPI 1811518806

JONATHAN HARVEY SOEKAMTO (DO) is a healthcare provider. based in Du bois, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 8264 (OK). The NPI Number for JONATHAN HARVEY SOEKAMTO (DO) is 1811518806

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN HARVEY SOEKAMTO (DO)
NPI
1811518806
Phone
(814) 375-6560
Address
100 HOSPITAL AVE
Enumeration Date
30 April 2020
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
4052242100
Graduation Year
2020 (6 years ago)
PAC ID
2567880313
Group Practice PAC ID
0648175778
Professional Enrollment ID
I20230919002131
Address ID
OK730182736CH2100XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for JONATHAN HARVEY SOEKAMTO (DO)

  • 100 HOSPITAL AVE

    DU BOIS, PA 158011440

    Phone: (814) 375-6560

    Type: Mailing

  • 145 HOSPITAL AVE STE 315

    DU BOIS, PA 158011465

    Phone: (814) 372-2573

    Type: Location

  • 2100 W IOWA AVE STE A

    CHICKASHA, OK 730182736

    Phone: (405) 224-2100

    Fax: (405) 222-0776

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $334.

Total Amount is formed as General ($334) + Research ($0) + Ownership ($0) = $334.

Last reported payment date: 2024-11-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($130).

Total Amount

$334

General + Research + Ownership

Payments

8

Total payment records

General Amount

$334

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230919002131IFamily PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648175778View full group profile
NameSpecialtyState
-OK
Family PracticeOK
Emergency MedicineOK
Emergency MedicineOK
-OK
Family PracticeOK
General SurgeryTX
Family Practice, Emergency MedicineOK
Pain ManagementOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is JONATHAN HARVEY SOEKAMTO (DO) listed with a National Provider Identifier?
Yes — JONATHAN HARVEY SOEKAMTO (DO) has NPI 1811518806 on file in the registry.
Would JONATHAN HARVEY SOEKAMTO (DO) appear as active to a payer?
You can treat JONATHAN HARVEY SOEKAMTO (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JONATHAN HARVEY SOEKAMTO (DO)?
JONATHAN HARVEY SOEKAMTO (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JONATHAN HARVEY SOEKAMTO (DO) associated with Du Bois?
Public fields place JONATHAN HARVEY SOEKAMTO (DO) around Du Bois, Pennsylvania. Always confirm the exact site before visiting.
Does JONATHAN HARVEY SOEKAMTO (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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