IndividualActiveAccepts Medicare
Charles Pradieu, M.D.
NPI 1114918778 · Specialist · Tahlequah, OK
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1114918778
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 15061 (PR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 S Bliss Ave
100 South Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3100
Street-level locationGet directions
Mailing address
1743 Atherton Ave
Elmont, NY 11003-1744
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2011-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.