Active NPI
Samantha Blank, M.D.
- Nephrology Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- DR.0065833
- Practice address
- 1899 Tate Blvd SE Ste 2101
Hickory, NC 28602-4200 - Phone
- (828) 327-7788
- Fax
- (828) 327-0112
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-065333 | IL | |
| Internal Medicine Physician | 207R00000X | 270421 | MA | |
| Nephrology Physician | 207RN0300X | 036.148940 | IL | |
| Nephrology Physician | 207RN0300X | DR.0065833 | CO | Primary |
Addresses
Primary practice location
1899 Tate Blvd SE Ste 2101
Hickory, NC 28602-4200
Mailing address
2072 46TH Avenue Dr NE
Hickory, NC 28601-8441
Phone (773) 636-2297
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
- Nephrology
- Education
- Rush Medical College of Rush University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2810 16TH St NE
Suite 200
Hickory, NC 28601-9600
Phone (828) 327-7700
Hospital & facility affiliations
- FMC - Bma of Lenoir Inc
- FMC Hickory Home Program
- Frye Regional Medical Center
- Catawba Valley Medical Center
- Blue Ridge Healthcare Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-065333 | IL | MD | Internal Medicine Physician |
| 036.148940 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Nephrology & Hypertension Associates, PA | Current | Accepting new patients | |
| Western Nephrology & Metabolic Bone Disease, P.C. | Nephrology | Current | Accepting new patients |
| Tapestry Telehealth PLLC | Internal Medicine | Past | Accepting new patients |
| Western Nephrology & Metabolic Bone Disease, P.C. | Nephrology | Past | Accepting new patients |
Locations
11700 W 2nd Pl
Ste 345
Lakewood, CO 80228
Phone (303) 232-3366
355 Union Blvd
Ste 360
Lakewood, CO 80228
Phone (720) 651-9500
4891 Independence St
Ste 120
Wheat Ridge, CO 80033
Phone (303) 232-3366
2810 16th St NE
#200
Hickory, NC 28601
Phone (828) 327-7700
1899 Tate Blvd SE
Ste 2101
Hickory, NC 28602
Phone (704) 327-7788
2810 16th St NE
Fl 2
Hickory, NC 28601
814 W Union St
Morganton, NC 28655
Phone (828) 237-4301
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHACA
- sblank81140@direct.acumenmd.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 and National Provider Directory roles.
-
- Specialist
- Hickory, NC
- NPI 1689673279
-
- Nephrology Physician
- Lakewood, CO
- NPI 1417562943
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
-
- Nephrology Physician
- Arvada, CO
- NPI 1134734486
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lenoir, NC
- NPI 1184736910
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hickory, NC
- NPI 1619394962
Dialysis facility
-
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1245644384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 46TH AVENUE DR NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286018441",
"telephone_number": "773-636-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 TATE BLVD SE STE 2101",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024200",
"telephone_number": "828-327-7788",
"fax_number": "828-327-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "SAMANTHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-065333",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "270421",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036.148940",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CO",
"license": "DR.0065833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.