Active NPI
Blake Edward Kostal, DO
- Hospitalist Physician
- Tulsa, OK
National Provider Identifier
1619670510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 8570
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-2200
- NPI assigned
- Mar 22, 2023
- Last updated
- Aug 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 8570 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3333
Phone (918) 499-4855
Other practice location 1
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 502-1900
Other practice location 2
10501 E 91st St
Tulsa, OK 74133-5790
Phone (918) 502-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1619670510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363333",
"telephone_number": "918-499-4855",
"fax_number": "918-488-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-2200"
}
],
"practiceLocations": [
{
"address_1": "300 Rockefeller Dr",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744015075",
"country_code": "US",
"telephone_number": "918-502-1900",
"fax_number": "918-494-6303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10501 E 91st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741335790",
"country_code": "US",
"telephone_number": "918-502-1900",
"fax_number": "918-494-6303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSTAL",
"first_name": "BLAKE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "8570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.