Individual provider Active NPI

Barbara Levine-Blase, DO

  • Family Medicine Physician
  • Westland, MI
National Provider Identifier
1376523597
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008931 Issued in MI
Practice address
2001 S Merriman Rd
Suite 100
Westland, MI 48186-5539
Phone
(734) 727-1000
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008931 MI Primary

Addresses

Primary practice location

2001 S Merriman Rd
Suite 100
Westland, MI 48186-5539

Mailing address

97 Monroe St
Detroit, MI 48226-2855
Phone (313) 965-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040610001098 MI Practitioner - Family Practice 3072596071 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince May 9, 2015 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

97 Monroe St
Detroit, MI 48226
Phone (313) 227-0065

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1376523597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MONROE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262855",
            "telephone_number": "313-965-3365",
            "fax_number": "313-965-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MERRIMAN RD",
            "address_2": "SUITE 100",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865539",
            "telephone_number": "734-727-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE-BLASE",
        "first_name": "BARBARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.