Individual provider Active NPI

Curt D Blacklock, DO

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1467465450
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C20003134 Issued in DE
Practice address
2600 Glasgow Ave
Ste 218
Newark, DE 19702-5704
Phone
(302) 392-2337
Fax
(302) 392-2333
NPI assigned
Aug 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C20003134 DE Primary

Addresses

Primary practice location

2600 Glasgow Ave
Ste 218
Newark, DE 19702-5704

Mailing address

2600 Glasgow Ave
Ste 218
Newark, DE 19702-5704
Phone (302) 392-2337

Other identifiers 2

IdentifierTypeStateIssuer
DO0167OtherDEDCS
239903MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20070604000614 DE Practitioner - Internal MedicinePractitioner - Emergency Medicine 0244338952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2600 Glasgow Ave
Suite 218
Newark, DE 19702-5704
Phone (302) 392-2337

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glasgow Internal Medicine Associates PA Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Newark Emergency Medical Providers LLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Delaware Diagnostic Services, Inc. PastSince May 1, 2004 Accepting new patients
Sussex Emergency Associates LLC Past Accepting new patients
Southern Chester County Emergency Room Associates PC Past Accepting new patients
Christiana Medical Group, PA Past Accepting new patients
Regional Medical Group LLC PastSince Mar 1, 2013 Accepting new patients

Locations

2600 Glasgow Ave
Ste 126
Newark, DE 19702
Phone (302) 439-3063

2600 Glasgow Ave
Ste 218
Newark, DE 19702
Phone (302) 392-2337

324 E Main St
Newark, DE 19711
Phone (302) 633-2345

Interoperability endpoints

  • Direct secure messaging: curt.blacklock.1@17230.direct.athenahealth.com

Organizations & group practices 7

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 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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467465450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "STE 218",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-392-2337",
            "fax_number": "302-392-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "STE 218",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-392-2337",
            "fax_number": "302-392-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLOCK",
        "first_name": "CURT",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C20003134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCS",
            "identifier": "DO0167",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239903",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.