Individual provider Active NPI

John Niklas Blixt, MD

  • Pulmonary Disease Physician
  • Kalamazoo, MI
National Provider Identifier
1114213204
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301098800 Issued in MI
Practice address
535 S Burdick St Ste 160
Kalamazoo, MI 49007-6113
Phone
(269) 388-5864
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301098800 MI
Pulmonary Disease Physician 207RP1001X 4301098800 MI Primary

Addresses

Primary practice location

535 S Burdick St Ste 160
Kalamazoo, MI 49007-6113

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

Other practice location 1

601 John St Ste M-510
Kalamazoo, MI 49007-5341
Phone (269) 341-7762

Other practice location 2

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110816000451 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2668641218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

535 S Burdick St
160 Bronson Pulmonary Medicine
Kalamazoo, MI 49007-6113
Phone (269) 388-5864

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Bronson Lakeview Hospital Hospital, Paw Paw, MI, CCN 231332
  • Bronson South Haven Hospital Hospital, South Haven, MI, CCN 230085
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098800MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson Methodist Hospital Pulmonary Disease CurrentSince Aug 5, 2018 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Nov 18, 2020 Accepting new patients
Bronson Battle Creek Hospital Internal Medicine CurrentSince Nov 18, 2020 Accepting new patients

Locations

363 Fremont St
Ste 100
Battle Creek, MI 49017
Phone (269) 245-5100

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

535 S Burdick St
Ste 160
Kalamazoo, MI 49007
Phone (269) 388-5864

601 John St
Ste M510
Kalamazoo, MI 49007
Phone (269) 341-7762

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Interoperability endpoints

  • Direct secure messaging: jblixt104529@direct.bronsonhg.org

Organizations & group practices 4

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1114213204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4220",
            "fax_number": "989-583-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S BURDICK ST STE 160",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076113",
            "telephone_number": "269-388-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-510",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075341",
            "country_code": "US",
            "telephone_number": "269-341-7762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Cooper Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "48602",
            "country_code": "US",
            "telephone_number": "989-583-4220",
            "fax_number": "989-583-4287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLIXT",
        "first_name": "JOHN",
        "middle_name": "NIKLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098800",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301098800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.