Individual provider Active NPI

Adam James Blanchard, M.D.

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1104262484
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
69296-20 Issued in WI
Practice address
2415 University Ave
Madison, WI 53726-3810
Phone
(504) 234-0277
NPI assigned
May 14, 2013
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 69296-20 WI Primary

Addresses

Primary practice location

2415 University Ave
Madison, WI 53726-3810

Mailing address

2415 University Ave
Madison, WI 53726-3810

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
I20200716000904 TX Practitioner - Diagnostic Radiology 0941592315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2022 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Jul 10, 2020 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Blue Stone JV LLP CurrentSince Oct 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2020 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

Organizations & group practices 18

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.

View all 18

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1104262484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537263810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537263810",
            "telephone_number": "504-234-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "69296-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.