Individual provider Active NPI

Kenneth Louis Blazier, M.D.

  • Anesthesiology Physician
  • Waterbury, CT
National Provider Identifier
1487674198
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
013144 Issued in ME
Practice address
64 Robbins St
Waterbury, CT 06708-2613
Phone
(203) 573-6000
NPI assigned
Jul 19, 2006
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 013144 ME Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 013144 ME

Addresses

Primary practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

PO Box 676
Maine Anesthesiology
Lewiston, ME 04243-0676
Phone (800) 720-1664

Other identifiers 1

IdentifierTypeStateIssuer
301770099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090930000676 CT Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5597709667 Reassigns benefits to 2 organizations
I20240125002653 FL Practitioner - Anesthesiology 5597709667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesiology Associates of CT PCGroup PAC ID 7517991052, 28 clinicians

Practice addresses (Care Compare)

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
74.19
Improvement activities
40
Cost
73.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013144MEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince Jun 13, 2020 Accepting new patients
Resource Anesthesiology Associates of CT PC Anesthesiology CurrentSince Jul 17, 2021 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Dec 23, 2023 Accepting new patients
Millennium Anesthesia PC Anesthesiology Past Accepting new patients
Mercy Hospital Past Accepting new patients
Mercy Hospital Past Accepting new patients
Maine Anesthesiology Anesthesiology Past Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1312 W Main St
Ste 101
Waterbury, CT 06708
Phone (203) 346-2200

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: kennethl.blazier@xdr.hhchealthdirect.org

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 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1487674198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "address_2": "MAINE ANESTHESIOLOGY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042430676",
            "telephone_number": "800-720-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZIER",
        "first_name": "KENNETH",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "013144",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "013144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301770099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.