Chad Michael Blunt, M.D.
Individual provider Active NPI Family Medicine Physician · Oak Harbor, OH
NPI 1447345301 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1447345301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35-07-6808 (OH)
- Practice address
- 11697 W State Route 163
Oak Harbor, OH 43449-9113 - Phone
- (419) 898-0993
- Fax
- (419) 898-2444
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Magruder Medical Group LTD
Practice addresses (Care Compare)
11697 W State Route 163
Oak Harbor, OH 43449-9113
Phone (419) 898-0993
611 Fulton St
Port Clinton, OH 43452-2008
Hospital & facility affiliations
- Ohioans Home Healthcare, Inc
- Magruder Hospital
- Memorial Hospital
- Mercy St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.49 of 100
- Quality
- 55.95
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 74.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100225000299 | OH | Practitioner - Family Practice | 2264576487 |
Reassigns benefits to 1 organization Practice locations: Port Clinton, OH; Oak Harbor, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magruder Medical Group LTD | Family Medicine | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
11697 W State Route 163
Oak Harbor, OH 43449
Phone (419) 898-0993
611 Fulton St
Ste C
Port Clinton, OH 43452
Phone (419) 732-6500
615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131
Interoperability endpoints
- chad.blunt@direct.magruderhospital.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-07-6808 | OH | Yes |
Addresses
Primary practice location
11697 W State Route 163
Oak Harbor, OH 43449-9113
Mailing address
11697 W State Route 163
Oak Harbor, OH 43449-9113
Phone (419) 898-0993
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210217 | Other | OH | ANTHEM BCBS OF OHIO |
| 2271616 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chad.blunt@direct.magruderhospital.com | Direct |
Other providers in Oak Harbor, OH
- Christopher Jordan Benavente
- Benton-Carroll-Salem LSD
- Jeremy Best
- Karen Louise Beverly
- Donnie E Bixler
- Danielle Boaz
- Breanna Bonner
- James Boss
- Nichole Renee Bradley
- Brikmanis Psychiatric Services
All providers in Oak Harbor, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.