NPIMap

Individual provider Active NPI

Jennifer Blair, M.D.

  • Family Medicine Physician
  • Louisville, CO
National Provider Identifier
1053587741
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48372 Issued in CO
Practice address
100 Health Park Dr
Louisville, CO 80027-9583
Phone
(303) 673-1000
Fax
(303) 673-7204
NPI assigned
May 2, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DR.0048372 CO
Family Medicine Physician 207Q00000X 48372 CO Primary

Addresses

Primary practice location

100 Health Park Dr
Louisville, CO 80027-9583

Mailing address

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 673-1000

Other identifiers 1

IdentifierTypeStateIssuer
55158757MedicaidCO

Other names 1

  • Jennifer Blair Caves Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513001141 CO Practitioner - Family Practice 0042348955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 643-1159

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48372COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Feb 14, 2010 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Feb 14, 2010 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2016 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2016 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

Interoperability endpoints

  • Direct secure messaging: jblair1858266@adventhealth.direct-ci.com

Organizations & group practices 7

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 9

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053587741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000",
            "fax_number": "303-673-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000",
            "fax_number": "303-673-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0048372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55158757",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CAVES",
            "middle_name": "BLAIR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.