DR. CHARLES PRADIEU M.D.
NPI 1114918778
Specialist in Tahlequah, OK

Active since November 02, 2005PECOS Enrolled
100 S BLISS AVE, 100 SOUTH BLISS AVE, TAHLEQUAH, OK 74464(918) 458-3100 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Charles Pradieu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES PRADIEU M.D. (NPI 1114918778) is an individual specialist in Tahlequah, Oklahoma, licensed in Puerto Rico (15061) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114918778
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHARLES PRADIEUCredential: M.D.
Location Address100 S BLISS AVE, 100 SOUTH BLISS AVETahlequah, OK 74464-2512
Mailing Address1743 Atherton Ave, 1743 Atherton AveElmont, NY 11003-1744 · (516) 424-3216
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJanuary 10, 2011
NPI 1114918778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PR · 15061
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

100 S BLISS AVE, Tahlequah, OK 74464

Other Names 1

Professional Name (2)Dr. Charles Pradieu .m.d.

Other Identifiers 1

Medicare UPINI-34028OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Charles Pradieu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Family Medicine
100 S BLISS AVE
TAHLEQUAH, OK 74464
Nurse Anesthetist, Certified Registered
100 S BLISS AVE
TAHLEQUAH, OK 74464
Obstetrics & Gynecology
100 S BLISS AVE, HASTINGS INDIAN MEDICAL CENTER
TAHLEQUAH, OK 74464
Obstetrics & Gynecology
100 S BLISS AVE
TAHLEQUAH, OK 74464
Obstetrics & Gynecology (Obstetrics)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Internal Medicine (Geriatric Medicine)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Advanced Practice Midwife
100 S BLISS AVE
TAHLEQUAH, OK 74464
Orthopaedic Surgery
100 S BLISS AVE
TAHLEQUAH, OK 74464

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 Pradieu's NPI number?

The NPI number for Charles Pradieu is 1114918778. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Charles Pradieu located?

Charles Pradieu practices at 100 S Bliss Ave 100 South Bliss Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-3100.

What is Charles Pradieu's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Charles Pradieu enrolled in Medicare?

Yes. Charles Pradieu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Pradieu was last updated on January 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.