Active NPI
Joel Mitchell Blass, MD
- Internal Medicine Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 166612
- Practice address
- 2920 Forestville Rd Ste 100
Raleigh, NC 27616-8774 - Phone
- (860) 882-7525
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 166612 | NY | Primary |
| General Practice Physician | 208D00000X | 2016-00926 | NC |
Addresses
Primary practice location
2920 Forestville Rd Ste 100
Raleigh, NC 27616-8774
Mailing address
90 Southside Ave Ste 350
Asheville, NC 28801-4184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154429850 | Medicaid | NC | |
| 00968290 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
Hospital & facility affiliations
- Ancora Compassionate Care
- Liberty Home Care II, LLC
- Hospice & Palliative Care Charlotte Region
- Lower Cape Fear Lifecare
- Southeastern Regional Medical Center
- Firsthealth Moore Regional Hospital
- Eden Rehabilitation and Healthcare Center
- Pembroke Center
- Mount Olive Center
- Linden Place Center for Nursing and Rehabilitation
- Ramseur Rehabilitation and Healthcare Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166612 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Eldercare PA | General Practice | Current | Accepting new patients |
| Careconnectmd North Carolina P.C. | General Practice | Current | Accepting new patients |
| Curana Health of North Carolina PLLC | Internal Medicine | Current | Accepting new patients |
| Saturn Operator LLC | Past | Accepting new patients | |
| Carolina Street Operating Company, LLC | Past | Accepting new patients | |
| Sunbridge Retirement Care Associates LLC | Past | Accepting new patients | |
| Pelican Health Reidsville LLC | Past | Accepting new patients | |
| Yanceyville Opco LLC | Past | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Internal Medicine | Past | Accepting new patients |
| Sunbridge Regency - North Carolina, LLC. | Past | Accepting new patients | |
| Accordius Health at Greensboro LLC | Past | Accepting new patients | |
| Liberty Healthcare Group, LLC | Past | Accepting new patients | |
| Kenansville Opco LLC | Past | Accepting new patients | |
| Universal Health Care / Ramseur, Inc | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- General Practice Physician
- Durham, NC
- NPI 1104507441
-
- Geriatric Medicine (Family Medicine) Physician
- Hickory, NC
- NPI 1801478086
-
dba Linden Place Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1689147035
-
dba Linden Place Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1154194306
-
dba Kenansville Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Kenansville, NC
- NPI 1750004800
-
dba Summerstone Health and Rehabilitation Center
- Skilled Nursing Facility
- Kernersville, NC
- NPI 1710244827
-
dba Cypress Valley Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Reidsville, NC
- NPI 1225688757
-
dba Saturn Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1033960273
-
dba Mount Olive Center
- Skilled Nursing Facility
- Mount Olive, NC
- NPI 1649224056
-
dba Pembroke Care and Rehabilitation Center
- Skilled Nursing Facility
- Pembroke, NC
- NPI 1194779504
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Linden Place Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1154194306
Nursing home
-
dba Eden Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Eden, NC
- NPI 1134868730
Nursing home
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
dba VIA Health Partners
- Community Based Hospice Care Agency
- Charlotte, NC
- NPI 1548398720
-
dba Ancora Compassionate Care
- Community Based Hospice Care Agency
- Reidsville, NC
- NPI 1639172299
-
dba Liberty Home Care II, LLC
- Community Based Hospice Care Agency
- Smithfield, NC
- NPI 1124104757
-
dba Liberty Home Care II, LLC
- Community Based Hospice Care Agency
- Siler City, NC
- NPI 1255401667
-
dba Liberty Home Care II, LLC
- Community Based Hospice Care Agency
- Dunn, NC
- NPI 1295805687
-
dba Liberty Home Care II, LLC
- Community Based Hospice Care Agency
- Southern Pines, NC
- NPI 1366529463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1154429850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVE STE 350",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 FORESTVILLE RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168774",
"telephone_number": "860-882-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASS",
"first_name": "JOEL",
"middle_name": "MITCHELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "166612",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "2016-00926",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154429850",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968290",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.