Individual provider Active NPI

Nate S Blaustein, M.D.

  • Emergency Medicine Physician
  • Springfield, IL
National Provider Identifier
1437175387
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-103815 Issued in IL
Practice address
800 E Carpenter St
Springfield, IL 62769-0002
Phone
(217) 544-6464
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2000150983 MO
Emergency Medicine Physician 207P00000X 036-103815 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62769-0002

Mailing address

75 Remit Dr
Lockbox 1374
Chicago, IL 60675-1374
Phone (866) 916-5259

Other identifiers 1

IdentifierTypeStateIssuer
036103815MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040212000126 IL Practitioner - Emergency Medicine 6305730029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-103815ILMDEmergency Medicine Physician
2000150983MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists LTD Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Mar 2, 2021 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Mar 2, 2021 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1437175387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "LOCKBOX 1374",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751374",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690002",
            "telephone_number": "217-544-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "NATE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2000150983",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-103815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103815",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.