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

Q: 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. The provider is also known as Dr. Charles Pradieu .M.D..

Q: What is Charles Pradieu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Pradieu was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

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: August 09, 2026.

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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

Phone(918) 458-3100

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

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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.

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