Anthony Paul Blalock, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

024394 Issued in LA

Practice address

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906

Phone

(337) 981-5156

Fax

(337) 981-0673

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

NephrologyAlso: Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Nephrology, LLCGroup PAC ID 1052787959, 3 clinicians

Acadiana Renal Physicians AMCGroup PAC ID 5890783070, 16 clinicians

Louisiana Kidney Update LLCGroup PAC ID 9032479548, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmcna - West Lafayette Dialysis facility, Lafayette, LA, CCN 192504
• Fmcna - Sunset Dialysis facility, Sunset, LA, CCN 192649
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
• Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ablalock21182@direct.acumenmd.com

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.

• Louisiana Kidney Update, LLC

  • Nephrology Physician
  • Lafayette, LA
  • NPI 1104014349
  Medicare reassignment Care Compare group Authorized official
• Acadiana Renal Physicians AMC

  • Nephrology Physician
  • Lafayette, LA
  • NPI 1992747349
  Medicare reassignment Care Compare group NPD
• Gulf Coast Nephrology, LLC

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1982340774
  Medicare reassignment Care Compare group NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment NPD
• Our Lady of Lourdes Regional Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1952497489
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• Our Lady of Lourdes Regional Medical Center

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1538181128
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Louisiana, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lafayette, LA
  • NPI 1558473322

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Louisiana, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sunset, LA
  • NPI 1609988443

  Dialysis facility

  Care Compare affiliation Name & address match
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Ochsner American Legion Hospital LLC

  • General Acute Care Hospital
  • Jennings, LA
  • NPI 1184373268
  Care Compare affiliation
• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1124037726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-981-5156",
            "fax_number": "337-981-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "024394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1489131",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ablalock21182@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2804 Ambassador Caffery Pkwy",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705065906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Blady
• Blair
• James Douglas Blair, ED.D
• Katherine Frances Blaise
• Susan Blakstone, LCSW
• Monica Lovenia Blancas, DDS
• Alexis Broussard Blanchard
• Angela D. Blanchard, RN
• Ashley Lynn Blanchard, FNP
• Evangeline Blanchard

• Nephrology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.