Individual provider Active NPI

Scott Elliott Blattman, M.D.

  • Family Medicine Physician
  • Woodway, TX
National Provider Identifier
1023082146
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1879 Issued in TX
Practice address
6101 Woodway Dr.
Suite 210
Woodway, TX 76712
Phone
(254) 537-6250
Fax
(254) 537-6251
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J1879 TX Primary

Addresses

Primary practice location

6101 Woodway Dr.
Suite 210
Woodway, TX 76712

Mailing address

6101 Woodway Dr.
Suite 210
Woodway, TX 76712
Phone (254) 537-6250

Other identifiers 3

IdentifierTypeStateIssuer
124785004MedicaidTX
88X540OtherTXBCBS
00N59XOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000470 TX Practitioner - Family Practice 6901940030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200

5400 Laurel Lake Dr
Waco, TX 76710-2835
Phone (254) 399-6633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Oct 1, 2010 Accepting new patients
Providence Health Alliance CurrentSince Oct 1, 2010 Accepting new patients

Locations

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

6101 Woodway Dr
Ste 210
Woodway, TX 76712
Phone (254) 537-6250

6101 Woodway Dr
Ste 200
Woodway, TX 76712
Phone (254) 537-6300

Interoperability endpoints

  • Direct secure messaging: scott.blattman.1@9635.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1023082146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WOODWAY DR.",
            "address_2": "SUITE 210",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-537-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WOODWAY DR.",
            "address_2": "SUITE 210",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-537-6250",
            "fax_number": "254-537-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTMAN",
        "first_name": "SCOTT",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124785004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88X540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N59X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

Verify at the official NPI Registry.