Jacky Bruce Blank, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME101336 Issued in FL

Practice address

6200 SW 73 Street
Miami, FL 33143-7679

Phone

(786) 662-8400

Fax

(786) 662-5314

NPI assigned

Apr 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Pulmonary Disease

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Benjamin and Blank LLCGroup PAC ID 4385896232, 2 clinicians

Pedro Sevilla LLCGroup PAC ID 2365735198, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Miami Hospital Hospital, Miami, FL, CCN 100154
• Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Benjamin and Blank LLC

  • Pulmonary Disease Physician
  • South Miami, FL
  • NPI 1003164104
  Medicare reassignment Care Compare group NPD
• Pedro Sevilla LLC

  dba Miami Pulmonary Specialists

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1629430756
  Medicare reassignment Care Compare group
• Jacky Blank MD PA

  • Pulmonary Disease Physician
  • Aventura, FL
  • NPI 1285961227
  NPD (past) Authorized official

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

• Baptist Hospital of Miami Inc

  dba Baptist Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• Doctors Hospital, Inc.

  • General Acute Care Hospital
  • Coral Gables, FL
  • NPI 1952351983
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1356667430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SW 73 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437679",
            "telephone_number": "786-662-8400",
            "fax_number": "786-662-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437679",
            "telephone_number": "786-662-8400",
            "fax_number": "786-662-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "JACKY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 101336",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD 030949 E",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME101336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Blandon, ARNP
• Natalia A Blandon, FNP, RN
• Scarlett Blandon, LCSW
• Wilner Blanfort
• Bonnie Blank, ARNP
• Lyn Carol Blank, CTRS
• Nicole Blank, PSY.D.
• Maria Belen Blanquez
• Mary S Blanz, CASE MANAGER
• Juan Bautista Blaquier, MD

• Pulmonary Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.

Verify at the official NPI Registry.