Individual provider Active NPI

Samantha Blank, M.D.

  • Nephrology Physician
  • Hickory, NC
National Provider Identifier
1245644384
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DR.0065833 Issued in CO
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

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204002287 NC Practitioner - Nephrology 7416248166 Reassigns benefits to 1 organization

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
Piedmont Nephrology and Hypertension Associates PAGroup PAC ID 0244319986, 8 clinicians

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 Dialysis facility, Lenoir, NC, CCN 342509
  • FMC Hickory Home Program Dialysis facility, Hickory, NC, CCN 342699
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-065333ILMDInternal Medicine Physician
036.148940ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Nephrology & Hypertension Associates, PA CurrentSince Dec 10, 2025 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology CurrentSince Jan 2, 2024 Accepting new patients
Tapestry Telehealth PLLC Internal Medicine Past Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology PastSince Sep 20, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.