Active NPI
Charles E Heinberg, M.D.
- Otolaryngology Physician
- Tulsa, OK
National Provider Identifier
1790782506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 9956
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Oklahoma Ear Nose and Throat Inc | Past | Accepting new patients | |
| Eastern Oklahoma Ear, Nose, and Throat | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1205829025
-
- Audiologist
- Tulsa, OK
- NPI 1497282826
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.