Michael Alexander Blaha, MD

Individual provider Active NPI Anesthesiology Physician · Lincoln, NE

NPI 1306407283 · NPPES record last updated Aug 4, 2023

Key facts

NPI
1306407283
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
35701 (NE)
Practice address
2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone
(402) 489-4186
Fax
(402) 489-5279
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists, PC (101 clinicians)

Practice addresses (Care Compare)

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 489-0200

Hospital & facility affiliations

  • Bryan Medical Center Hospital · Lincoln, NE · CCN 280003
  • Lincoln Surgical Hospital Hospital · Lincoln, NE · CCN 280127

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100 (group)
Quality
80
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230810000800 NE Practitioner - Anesthesiology 9638407471 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists PC Anesthesiology Current
since Aug 28, 2023
Accepting new patients

Locations

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2900 S 70th St
Ste 450
Lincoln, NE 68506
Phone (402) 489-4186

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35701 NE Yes

Addresses

Primary practice location

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796

Mailing address

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone (402) 489-4186

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2023.

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1306407283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "35701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

All providers in Lincoln, NE · Anesthesiology Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.