Edward Gustavson, MD
NPI 1386674182 · Developmental - Behavioral Pediatrics Physician · Tahlequah, OK
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Gustavson, MD is a Developmental - Behavioral Pediatrics Physician provider in Tahlequah, OK (NPI 1386674182).
Provider details
- NPI number
- 1386674182
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20370 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2013-07-29
Frequently asked questions
- What is Edward Gustavson's NPI number?
- Edward Gustavson's National Provider Identifier (NPI) is 1386674182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Gustavson's specialty?
- Edward Gustavson is listed in the NPPES registry with a primary specialty of Developmental - Behavioral Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Gustavson located?
- Edward Gustavson's practice location on file with NPPES is 1310 E Boone St, Tahlequah, OK 74464-3338.
- What is Edward Gustavson's phone number?
- The practice phone number listed in the NPPES registry for Edward Gustavson is (918) 456-7700.
- Does Edward Gustavson accept Medicare?
- Edward Gustavson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Gustavson's NPI active?
- Yes — Edward Gustavson's NPI (1386674182) is active in the NPPES registry as of the last update on 2013-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.