DANIEL LAWRENCE PABLO (M.D.) – Surgery Physician, NPI 1558449116

DANIEL LAWRENCE PABLO (M.D.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 21445 (OK). The NPI Number for DANIEL LAWRENCE PABLO (M.D.) is 1558449116

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL LAWRENCE PABLO (M.D.)
NPI
1558449116
Phone
(918) 458-3360
Address
100 S BLISS AVE
Enumeration Date
1 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
5803545000
Graduation Year
1994 (32 years ago)
PAC ID
8628122967
Group Practice PAC ID
6406800234
Professional Enrollment ID
I20090820000380
Address ID
OK735073002LA1515XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

354 GENERAL SURGERY in OK

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Provider Addresses for DANIEL LAWRENCE PABLO (M.D.)

  • 100, Bliss Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3360

    Fax: (918) 458-3511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090820000380IGeneral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74464)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406800234View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
Diagnostic RadiologyOK
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK
-VA
-VA

Reviews

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Frequently asked questions

How is DANIEL LAWRENCE PABLO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DANIEL LAWRENCE PABLO (M.D.) with NPI 1558449116.
Does the file indicate DANIEL LAWRENCE PABLO (M.D.) is practicing under active NPI?
Directory data currently reports DANIEL LAWRENCE PABLO (M.D.) as active.
What is DANIEL LAWRENCE PABLO (M.D.) best known for clinically?
Directory data describes DANIEL LAWRENCE PABLO (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DANIEL LAWRENCE PABLO (M.D.) on a map?
Expect Tahlequah, Oklahoma as a primary anchor for DANIEL LAWRENCE PABLO (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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