NPIMap

Individual provider Active NPI

Joseph Anthony Blaser, D.O.

  • Surgery Physician
  • Vandalia, IL
National Provider Identifier
1316064157
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036121436 Issued in IL
Practice address
650 W Taylor St
Vandalia, IL 62471-1296
Phone
(618) 283-1231
NPI assigned
Mar 26, 2007
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101016157 MI
Surgery Physician 208600000X 036121436 IL Primary

Addresses

Primary practice location

650 W Taylor St
Vandalia, IL 62471-1296

Mailing address

650 W Taylor St
Vandalia, IL 62471-1296
Phone (618) 283-5444

Other practice location 1

725 Saint Francis Way
Litchfield, IL 62056-1780
Phone (217) 324-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000115 IL Practitioner - General Surgery 6103993084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Mattoon, IL 61938-4644

650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036121436ILMDSurgery Physician
5101016157MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 19, 2012 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 19, 2012 Accepting new patients

Locations

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillsboro Area Hospital, Inc.Hillsboro, IL, CCN 141332 Hospital Corporate Director Mar 16, 2023
Hillsboro Area Hospital, Inc.Hillsboro, IL, CCN 14Z332 Hospital Corporate Director Mar 16, 2023
Hillsboro Health Primary Care ClinicHillsboro, IL, CCN 148673 Rural health clinic Corporate Director Mar 16, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1316064157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711296",
            "telephone_number": "618-283-5444",
            "fax_number": "618-283-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711296",
            "telephone_number": "618-283-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Saint Francis Way",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "IL",
            "postal_code": "620561780",
            "country_code": "US",
            "telephone_number": "217-324-8730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASER",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101016157",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036121436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

Verify at the official NPI Registry.