Individual provider Active NPI

Charles E Heinberg, M.D.

  • Otolaryngology Physician
  • Tulsa, OK
National Provider Identifier
1790782506
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9956 Issued in OK
Practice address
5020 E 68TH St
Tulsa, OK 74136-3307
Phone
(918) 492-3636
Fax
(918) 494-8915
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9956 OK Primary

Addresses

Primary practice location

5020 E 68TH St
Tulsa, OK 74136-3307

Mailing address

5020 E 68TH St
Tulsa, OK 74136-3307
Phone (918) 492-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oklahoma Ear Nose and Throat Inc Past Accepting new patients
Eastern Oklahoma Ear, Nose, and Throat Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charlesheinberg@entst.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790782506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINBERG",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "9956",
            "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.