Mark E. Blaker, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · New Hartford, NY
NPI 1063406171 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1063406171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 150221 (NY)
- Practice address
- 1729 Burrstone Rd
New Hartford, NY 13413-1001 - Phone
- (315) 798-1700
- Fax
- (315) 798-1707
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Jefferson Medical College of Thomas Jefferson University, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central New York Cardiology, PC
Practice addresses (Care Compare)
601 State St
Suite 200
Utica, NY 13502-4208
Phone (315) 733-7598
Hospital & facility affiliations
- Wynn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 78.81
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 74.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040414001563 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 3678478914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mblaker@cnycardiology.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 150221 | NY | Yes |
Addresses
Primary practice location
1729 Burrstone Rd
New Hartford, NY 13413-1001
Mailing address
1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00729117 | Medicaid | NY |
Other providers in New Hartford, NY
- Barbara Jean Benincasa
- Berardino and Pfisterer Inc
- Steven R Betz
- Jennifer L Birns
- Niki Ostrom Bischoff
- Jonathan Blando
- Matthew Blando
- Thomas A. Blando
- Sidney J Blatt
- Jonathan D Block
All providers in New Hartford, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.