Individual provider Active NPI

Arturo Enrique Blanco, MD

  • Family Medicine Physician
  • Clinton, MS
National Provider Identifier
1184778508
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19620 Issued in MS
Practice address
728 Clinton Pkwy Ste B
Clinton, MS 39056-5227
Phone
(601) 200-4800
Fax
(601) 200-4805
NPI assigned
Jan 23, 2007
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19620 MS Primary

Addresses

Primary practice location

728 Clinton Pkwy Ste B
Clinton, MS 39056-5227

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4800

Other practice location 1

286 Calhoun Station Pkwy
Madison, MS 39110-5537
Phone (601) 200-4321

Other practice location 2

1050 River Oaks Dr Ste 100
Flowood, MS 39232-9564
Phone (603) 200-4800

Other identifiers 1

IdentifierTypeStateIssuer
03651200MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070508000121 MS Practitioner - Family Practice 2567568595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

728 Clinton Pkwy
Clinton, MS 39056-5227
Phone (601) 200-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Dominic Medical Associates LLC CurrentSince Feb 1, 2010 Accepting new patients
St. Dominic Medical Associates LLC Family Medicine CurrentSince Feb 1, 2010 Accepting new patients
St. Dominic Medical Associates LLC Family Medicine Past Accepting new patients
St Dominic Medical Associates LLC Past Accepting new patients

Locations

728 Clinton Pkwy
#B
Clinton, MS 39056
Phone (601) 200-4800

1050 River Oaks Dr
Ste 100
Flowood, MS 39232
Phone (601) 200-4750

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

Interoperability endpoints

  • Direct secure messaging: ablanco2548708@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1184778508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4800",
            "fax_number": "601-200-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 CLINTON PKWY STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565227",
            "telephone_number": "601-200-4800",
            "fax_number": "601-200-4805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Calhoun Station Pkwy",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391105537",
            "country_code": "US",
            "telephone_number": "601-200-4321",
            "fax_number": "601-859-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 River Oaks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329564",
            "country_code": "US",
            "telephone_number": "603-200-4800",
            "fax_number": "601-200-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ARTURO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03651200",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.