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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: November 01, 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
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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Pradieu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Reno Indian Health Center
170 mi
Public Health or Welfare
1631 A EAST HWY 66
El Reno, OK 73036
  • Reassigned Medicare billing, Texas enrollment
  • 153 clinicians in this Medicare group
NPI 1386725604 (405) 262-7631
Anadarko Indian Health Center
195 mi
Public Health, Federal
201 E PARKER MCKENZIE DRIVE
Anadarko, OK 73005
  • Reassigned Medicare billing, Texas enrollment
  • 177 clinicians in this Medicare group
NPI 1881637403 (405) 247-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

PATRICK WAYNE SHARP DO
Emergency Medicine
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (189) 458-3100
HASTINGS INDIAN MEDICAL CENTER
General Acute Care Hospital (Rural)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
DR. ADAM K RICHARDS DPT
Physical Therapist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3491
JACOB EDWARD DICKERSON DNAP
Nurse Anesthetist, Certified Registered
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
DR. BARINDER PAUL BASSI DPM
Podiatrist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-3780
DR. STEVEN RAY SCOTT PHARMD
Pharmacist (Pharmacotherapy)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
MRS. CHERYL DELORES TARVER CNM
Advanced Practice Midwife
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3343
DR. GERALD RAY BROWN JR. PHARMD
Pharmacist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3207

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

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.

Which organizations bill Medicare for Charles Pradieu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Pradieu reassigns Medicare benefits to 2 organizations: El Reno Indian Health Center (El Reno, OK) and Anadarko Indian Health Center (Anadarko, 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 Pradieu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.