Active NPI
Richard E Blalock, M.D.
- Internal Medicine Physician
- Murray, KY
National Provider Identifier
1295723328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20341
- Practice address
- 1000 S 12TH St
Murray, KY 42071-9303 - Phone
- (270) 759-9200
- Fax
- (270) 759-9966
- NPI assigned
- Oct 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20341 | KY | Primary |
Addresses
Primary practice location
1000 S 12TH St
Murray, KY 42071-9303
Mailing address
1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 759-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64203417 | Medicaid | KY | |
| 000000050313 | Other | KY | ANTHEM BC BS |
| 110001757 | Other | KY | RAILROAD MEDICARE |
| 610994960 | Other | KY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040430000028 | KY | Practitioner - Internal Medicine | 1850388034 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Louisville School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- VMD Primary Providers Central Kentucky
Practice addresses (Care Compare)
1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 854-1444
Hospital & facility affiliations
- Centerwell Home Health
- Murray-Calloway County Hospital
- Trigg County Hospital
- Murray Calloway County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| VMD Primary Providers Central Kentucky | Internal Medicine | Current | Accepting new patients |
| VMD Primary Providers Central Kentucky | Internal Medicine | Current | Accepting new patients |
Locations
543 Powell Ln
Benton, KY 42025
Phone (270) 252-1700
1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200
Interoperability endpoints
- richard.blalock.1@22064.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Murray, KY
- NPI 1831674654
Internal Medicine, KY
-
- Rural Health Clinic/Center
- Lebanon, KY
- NPI 1063120194
Internal Medicine
-
- Family Medicine Physician
- Murray, KY
- NPI 1295716694
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Murray, KY
- NPI 1811979495
-
- Rehabilitation Hospital Unit
- Murray, KY
- NPI 1043336910
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1295723328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420719303",
"telephone_number": "270-759-9200",
"fax_number": "270-759-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420719303",
"telephone_number": "270-759-9200",
"fax_number": "270-759-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLALOCK",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "20341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64203417",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000050313",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110001757",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610994960",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.