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Samuel Diskerud

Chiropractor β€’ Broken Arrow, OK

Active NPI 1689459208 Individual Practitioner Male Practitioner
Practice location in NPPES

900 W Kenosha St
Broken Arrow, OK 740128917

Call 9182518889 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

900 W Kenosha St

Broken Arrow, OK 740128917

Telephone 9182518889
Organization at the Same NPPES Address or Phone
Dr. John K. Whitham, Pc Facility NPI 1568693919

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Dr. John K. Whitham, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Logan College Of Chiropractic

Graduation Year

2023

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samuel Diskerud has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samuel Diskerud as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Broken Arrow and Oklahoma

35 active clinicians are listed under Chiropractor with a practice address in Broken Arrow, OK (983 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Broken Arrow

0% of these 35 clinicians have the CMS telehealth indicator.

28.6% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-23
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OK 4565

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20230921001189

Enrollment State Jurisdiction

OK

PECOS Control ID

5597119776

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Dr. John K. Whitham, Pc

900 W Kenosha St, Broken Arrow, OK 740128917

Phone: 9182518889

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1023249471

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 23, 2026

Registered at 900 W KENOSHA ST, BROKEN ARROW, OK 740128917 (Tel: 9182518889)

πŸ“
Updated Business Mailing Address February 23, 2026

Registered at 900 W KENOSHA ST, BROKEN ARROW, OK 740128917 (Tel: 9182518889)

βœ…
NPI Profile Active August 30, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 30, 2023

Registered at 425 E 22ND ST STE 102, OWASSO, OK 740554492 (Tel: 9183764117)

πŸ“
Business Mailing Address (Initial Record) August 30, 2023

Registered at 425 E 22ND ST STE 102, OWASSO, OK 740554492 (Tel: 9183764117)

πŸ‘€
Provider Name / Credentials (Initial Record) August 30, 2023

Recorded as SAMUEL DISKERUD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Chiropractor (license number reported to NPPES: OK 4565)

🟒
Initial NPI Registration & Enumeration August 30, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689459208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2023
Last Update: February 23, 2026
Sole Proprietor: No

Other Chiropractors in Broken Arrow

All Chiropractors in Broken Arrow

Mailing Address

900 W Kenosha St

Broken Arrow, OK 740128917

Phone: 9182518889

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.