Active NPI
Christopher Thomas Blanford, M.D.
- Family Medicine Physician
- Princeton, IL
National Provider Identifier
1306286950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036139239
- Practice address
- 535 Park Ave E
Princeton, IL 61356-2537 - Phone
- (815) 875-4531
- Fax
- (815) 876-2118
- NPI assigned
- Jun 27, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036139239 | IL | Primary |
Addresses
Primary practice location
535 Park Ave E
Princeton, IL 61356-2537
Mailing address
530 Park Ave E
Medical Staff Services
Princeton, IL 61356-3903
Phone (815) 876-2293
Other practice location 1
105 N Main St
Walnut, IL 61376-9707
Phone (815) 379-2020
Other practice location 2
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
Other practice location 3
327 Edward St
Henry, IL 61537-1539
Phone (309) 364-2002
Other practice location 4
2128 N Main St
Princeton, IL 61356-9728
Phone (815) 875-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036139239 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopher.blanford@perry.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20161017000523 | IL | Practitioner - Family Practice | 4587898101 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Physical Therapy Services, LTD.Osf Healthcare System
Practice addresses (Care Compare)
300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500
535 Park Ave E
Princeton, IL 61356-2537
Phone (815) 875-4531
Hospital & facility affiliations
- In-Home Care Connection Home Health Services
- Osf Healthcare Home Care
- Osf Saint Clare Medical Center
- Saint Francis Medical Center
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Paul Medical Center
- Osf Saint Luke Medical Center
- Manor Court of Princeton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients |
Locations
327 Edward St
Henry, IL 61537
Phone (309) 364-2002
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
530 Park Ave E
Ste 303
Princeton, IL 61356
Phone (815) 872-3035
2128 N Main St
Princeton, IL 61356
Phone (815) 875-2273
535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531
Interoperability endpoints
- christopher.blanford@perry.cernerdirect.com
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Osf Healthcare - Medical Group - Henry | Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Dec 1, 2022 Dec 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Henry, IL
- NPI 1568187938
Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 10
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.
-
- Physical Therapist
- Bloomington, IL
- NPI 1760640262
-
- Physical Therapist
- Bloomington, IL
- NPI 1437141504
-
- Physical Therapist
- Kewanee, IL
- NPI 1184882961
-
- Physical Therapist
- Macomb, IL
- NPI 1336307115
-
- Physical Therapist
- Canton, IL
- NPI 1932367810
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Rural Health Clinic/Center
- Roseville, IL
- NPI 1730788902
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Moline, IL
- NPI 1184150419
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
-
- Skilled Nursing Facility
- Princeton, IL
- NPI 1083692420
Nursing home
-
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1306286950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 PARK AVE E",
"address_2": "MEDICAL STAFF SERVICES",
"city": "PRINCETON",
"state": "IL",
"postal_code": "613563903",
"telephone_number": "815-876-2293",
"fax_number": "815-872-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 PARK AVE E",
"city": "PRINCETON",
"state": "IL",
"postal_code": "613562537",
"telephone_number": "815-875-4531",
"fax_number": "815-876-2118"
}
],
"practiceLocations": [
{
"address_1": "105 N Main St",
"address_purpose": "LOCATION",
"city": "Walnut",
"state": "IL",
"postal_code": "613769707",
"country_code": "US",
"telephone_number": "815-379-2020",
"fax_number": "815-379-2018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 Park Ave E",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IL",
"postal_code": "61356",
"country_code": "US",
"telephone_number": "815-875-2811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "327 Edward St",
"address_purpose": "LOCATION",
"city": "Henry",
"state": "IL",
"postal_code": "615371539",
"country_code": "US",
"telephone_number": "309-364-2002",
"fax_number": "309-364-2017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2128 N Main St",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IL",
"postal_code": "613569728",
"country_code": "US",
"telephone_number": "815-875-2273",
"fax_number": "815-207-8682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANFORD",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036139239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036139239",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopher.blanford@perry.cernerdirect.com",
"affiliation": "N",
"address_1": "530 Park Ave E",
"city": "Princeton",
"state": "IL",
"country_code": "US",
"postal_code": "61356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Princeton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.