NPIMap

Individual provider Active NPI

Michael P Bloustine, M.D.

  • Internal Medicine Physician
  • McPherson, KS
National Provider Identifier
1104053446
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125056742 Issued in IL
Practice address
1000 Hospital Dr
McPherson, KS 67460-2326
Phone
(620) 241-2250
Fax
(620) 245-0115
NPI assigned
Jun 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125056742 IL Primary

Addresses

Primary practice location

1000 Hospital Dr
McPherson, KS 67460-2326

Mailing address

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scc-direct@mcpmedsurg.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20140319001039 KS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6608007471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400

Hospital & facility affiliations

  • McPherson Hospital Hospital, McPherson, KS, CCN 170105
  • Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020
  • Lindsborg Community Hospital Hospital, Lindsborg, KS, CCN 171358
  • McPherson Hospital Nursing home, CCN 17U105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125056742ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Hospital, Inc. CurrentSince Nov 9, 2013 Accepting new patients
Family Practice Associates of McPherson, L.L.P. Current Accepting new patients
McPherson Hospital, Inc. Internal Medicine Current Accepting new patients
McPherson Hospital, Inc. Past Accepting new patients

Locations

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

Interoperability endpoints

  • Direct secure messaging: michael.bloustine@khindirect.org
  • Direct secure messaging: scc-direct@mcpmedsurg.hin.us

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McPherson Hospital IncMcPherson, KS, CCN 170105 Hospital Corporate Director (7.14%) Jan 1, 2024
McPherson Hospital IncMcPherson, KS, CCN 17U105 Hospital Corporate Officer Jan 1, 2024
McPherson Medical and Surgical AssociatesMcPherson, KS, CCN 178625 Rural health clinic Corporate Director (7.14%) Jan 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1244851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1104053446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602326",
            "telephone_number": "620-241-2251",
            "fax_number": "672-079-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602326",
            "telephone_number": "620-241-2250",
            "fax_number": "620-245-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUSTINE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-13",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125056742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.