Individual provider Active NPI

Maury Nelson Blitman, MD

  • Hematology & Oncology Physician
  • Spokane Valley, WA
National Provider Identifier
1396713095
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00048643 Issued in WA
Practice address
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
Mar 9, 2006
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003-0406 NM
Hematology & Oncology Physician 207RH0003X MD00048643 WA Primary
Hematology & Oncology Physician 207RH0003X MD169632 OR
Hematology & Oncology Physician 207RH0003X 2003-0406 NM

Addresses

Primary practice location

1204 N Vercler Rd
Spokane Valley, WA 99216-1020

Mailing address

1204 N Vercler Rd Ste 101
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

Other practice location 1

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150

Other practice location 2

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20071130000625 WA Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Hematology 0345238101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

1204 N Vercler Rd
Spokane, WA 99216-1020
Phone (509) 228-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0406NMMDInternal Medicine Physician
MD169632ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S CurrentSince Oct 1, 2018 Accepting new patients
Cancer Care Northwest Centers P S Hematology & Oncology CurrentSince Oct 1, 2018 Accepting new patients
High Desert Hematology Oncology PC Hematology & Oncology PastSince Apr 5, 2007 Accepting new patients

Locations

410 E King Ave
Chewelah, WA 99109
Phone (509) 935-8711

601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082

605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

1204 N Vercler Rd
#101
Spokane Valley, WA 99216

1204 N Vercler Rd
Ste 201
Spokane Valley, WA 99216

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 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1396713095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 NW Elks Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303745",
            "country_code": "US",
            "telephone_number": "541-754-1150",
            "fax_number": "541-753-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 NW Elks Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303745",
            "country_code": "US",
            "telephone_number": "541-754-1150",
            "fax_number": "541-753-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLITMAN",
        "first_name": "MAURY",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2003-0406",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00048643",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD169632",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "2003-0406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.