NPIMap

Individual provider Active NPI

Carl J. Blond, M.D.

  • Nephrology Physician
  • Portland, ME
National Provider Identifier
1174507776
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
F8413 Issued in TX
Practice address
1600 Congress St
Portland, ME 04102-2143
Phone
(207) 774-5222
NPI assigned
Dec 6, 2005
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X F8413 TX Primary

Addresses

Primary practice location

1600 Congress St
Portland, ME 04102-2143

Mailing address

7142 San Pedro Ave Ste 120
San Antonio, TX 78216-6256
Phone (210) 661-5622

Other practice location 1

2391 NE Loop 410 Ste 405
San Antonio, TX 78217-5675
Phone (210) 654-7326

Other identifiers 2

IdentifierTypeStateIssuer
390001456OtherTXMEDICARE RAILROAD
119151201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101206001216 TX Practitioner - NephrologyPractitioner - Internal Medicine 7911816764 Reassigns benefits to 4 organizations
I20230720000804 ME Practitioner - NephrologyPractitioner - Internal Medicine 7911816764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Hospitalist Associates LLCGroup PAC ID 6608024633, 19 clinicians
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians
Victoria Hospitalist Associates, LLCGroup PAC ID 6204927122, 39 clinicians

Practice addresses (Care Compare)

1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone (830) 278-6251

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

499 10TH St
Floresville, TX 78114-3175
Phone (830) 393-1300

506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F8413TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince Oct 13, 2011 Accepting new patients
Central Maine Medical Center CurrentSince Jun 10, 2023 Accepting new patients
Bridgton Hospital CurrentSince Jun 10, 2023 Accepting new patients
Rumford Hospital CurrentSince Jun 10, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Jul 7, 2023 Accepting new patients
Wellmed Networks, Inc. CurrentSince Dec 22, 2014 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Dec 8, 2025 Accepting new patients
Bridgton Hospital CurrentSince Jun 10, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Jun 10, 2023 Accepting new patients
South Texas Hospitalist Associates LLC CurrentSince Dec 30, 2012 Accepting new patients
Rumford Hospital CurrentSince Jun 10, 2023 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Aug 1, 2021 Accepting new patients
Victoria Emergency Associates LLC Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

1600 Congress St
Ste B
Portland, ME 04102
Phone (207) 774-5222

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Trinity HospiceSan Antonio, TX, CCN 741591 Hospice Contracted Managing Employee Sep 20, 2016

Owned or controlled facilities with NPI records 1

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

  • Echo Hospice LLC

    dba Trinity Hospice

    • Community Based Hospice Care Agency
    • San Antonio, TX
    • NPI 1902280746

    Contracted Managing Employee

    CMS ownership

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.

View all 15

Hospital & facility affiliations 8

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1174507776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166256",
            "telephone_number": "210-661-5622",
            "fax_number": "210-798-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022143",
            "telephone_number": "207-774-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2391 NE Loop 410 Ste 405",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175675",
            "country_code": "US",
            "telephone_number": "210-654-7326",
            "fax_number": "210-590-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOND",
        "first_name": "CARL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "F8413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390001456",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119151201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.