Individual provider Active NPI

Richard Daniel Blair, M.D.

  • Nephrology Physician
  • Greenville, NC
National Provider Identifier
1386646628
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200001467 Issued in NC
Practice address
511 Paladin Dr
Greenville, NC 27834-7826
Phone
(252) 633-9262
Fax
(252) 317-2092
NPI assigned
Jun 1, 2005
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 200001467 NC Primary

Addresses

Primary practice location

511 Paladin Dr
Greenville, NC 27834-7826

Mailing address

970 Newman Rd
New Bern, NC 28562-5200
Phone (252) 633-9262

Other identifiers 2

IdentifierTypeStateIssuer
1283MOtherNCBCBS OF NC
891283MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060310000159 NC Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 3779492335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Harvard Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

2300 Emerald Place
Greenville, NC 27834-5786
Phone (252) 752-8880

3800 E 10TH St
Suite 102
Greenville, NC 27858-7618
Phone (252) 752-8880

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

608 A Airport Rd
Kinston, NC 28504-8210
Phone (252) 523-8513

970 Newman Rd
New Bern, NC 28562-5200
Phone (252) 633-9262

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jan 1, 2001 Accepting new patients
Carteret Medical Group LLC CurrentSince Mar 1, 2025 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Sep 20, 2024 Accepting new patients

Locations

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

302 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

970 Newman Rd
New Bern, NC 28562
Phone (252) 633-9262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rblair22328@direct.acumenmd.com
  • Direct secure messaging: richard.blair.p214@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.blair.p55@direct.aac.nextgenshare.com
  • Direct secure messaging: richardblair@ena.allscriptsdirect.net

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 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1386646628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-9262",
            "fax_number": "252-317-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PALADIN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-633-9262",
            "fax_number": "252-317-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "RICHARD",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200001467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1283M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891283M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.