Individual provider Active NPI

Anne M Blenke, MD

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1477517381
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME08073 Issued in FL
Practice address
1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034
Phone
(954) 782-0010
Fax
(954) 781-2139
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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 ME08073 FL Primary

Addresses

Primary practice location

1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034

Mailing address

1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034
Phone (954) 782-0010

Other identifiers 1

IdentifierTypeStateIssuer
065655100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME08073FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Primary Care of Southwest Florida PL Internal Medicine Past Accepting new patients
North Broward Hospital District Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1477517381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLENKE",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME08073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065655100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.