Active NPI
Nate S Blaustein, M.D.
- Emergency Medicine Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-103815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036103815 | Medicaid | IL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Hospital & facility affiliations
- St Johns Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-103815 | IL | MD | Emergency Medicine Physician |
| 2000150983 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1174564587
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; 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.