CHARLES BLAGOVICH
NPI 1053763334
Nurse Practitioner - Family in Tulsa, OK
About Charles Blagovich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES BLAGOVICH (NPI 1053763334) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (121198) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charles Blagovich is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Charles Blagovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74129
- Reassigned Medicare billing, Oklahoma enrollment
- 104 clinicians in this Medicare group
Bartlesville, OK 74003
- Reassigned Medicare billing, Oklahoma enrollment
- 2 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 171 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Blagovich's NPI number?
The NPI number for Charles Blagovich is 1053763334. It was assigned to this individual provider in the NPPES registry on July 11, 2016.
Where is Charles Blagovich located?
Charles Blagovich practices at 6600 S Yale Ave, Tulsa, OK 74136. The listed phone number is (740) 505-7569.
What is Charles Blagovich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Charles Blagovich enrolled in Medicare?
Yes. Charles Blagovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Charles Blagovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Blagovich reassigns Medicare benefits to 3 organizations: Tulsa Emergency Medical Center Inc (Tulsa, OK), Nujoint LLC (Bartlesville, OK) and Medical Resource Management, LLC (Edmond, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Blagovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Blagovich accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Charles Blagovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles Blagovich was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charles Blagovich · NPI 1053763334
Family physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since July 11, 2016.
## Identity
- **NPI:** 1053763334 (Entity type: Individual)
- **Enumerated:** July 11, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 121198 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6600 S YALE AVE, Tulsa, OK 74136-3347
- **Phone:** (740) 505-7569
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tulsa Emergency Medical Center Inc (NPI 1063479087, Tulsa, OK); Nujoint LLC (NPI 1609539683, Bartlesville, OK); Medical Resource Management, LLC (NPI 1104056365, Edmond, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 11, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053763334) · Data from the CMS NPPES public registry.