Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BLAKE EDWARD KOSTAL DO
NPI 1619670510
Hospitalist in Tulsa, OK

Q: What is Blake Kostal's NPI number?

The NPI number for Blake Kostal is 1619670510. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Blake Kostal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Kostal was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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 March 22, 2023PECOS Enrolled

6161 S YALE AVE, TULSA, OK 74136(918) 494-2200 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 6, 2026, Jul 29, 2026, Mar 22, 2023 (3 updates tracked since 2023).

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About Dr. Blake Edward Kostal Do NPPES

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

DR. BLAKE EDWARD KOSTAL DO (NPI 1619670510) is an individual hospitalist provider in Tulsa, Oklahoma, licensed in Oklahoma (8570) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619670510

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. BLAKE EDWARD KOSTALCredential: DO

Location Address6161 S YALE AVETulsa, OK 74136-1902

Mailing Address6600 S Yale Ave Ste 1200Tulsa, OK 74136-3333 · (918) 499-4855 · Fax (918) 488-6098

Phone(918) 494-2200

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1619670510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OK · 8570

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

6161 S YALE AVE, Tulsa, OK 74136

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Secondary Practice Locations 2

Location 1300 Rockefeller DrMuskogee, OK 74401-5075 · Phone (918) 502-1900 · Fax (918) 494-6303

Location 210501 E 91st StTulsa, OK 74133-5790 · Phone (918) 502-1900 · Fax (918) 494-6303

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. Blake Edward Kostal Do 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.

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.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEX BRYAN OLSEN M.D.

Surgery (Surgical Critical Care)