Individual provider Active NPI

Stephen L Blonsky, MD

  • Nephrology Physician
  • Muskego, WI
National Provider Identifier
1497855126
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
27560 Issued in WI
Practice address
S88W12923 Upland LN
Muskego, WI 53150-7341
Phone
(715) 212-1291
NPI assigned
Sep 23, 2006
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 27560 WI Primary

Addresses

Primary practice location

S88W12923 Upland LN
Muskego, WI 53150-7341

Mailing address

S88W12923 Upland LN
Muskego, WI 53150-7341
Phone (715) 212-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN2 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
I20080212000506 WI Practitioner - NephrologyPractitioner - Internal Medicine 9830272970 Reassigns benefits to 2 organizations
I20221103002625 IN Practitioner - NephrologyPractitioner - Internal Medicine 9830272970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27560WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care of Michiana LLC Nephrology CurrentSince Nov 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 18, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 18, 2021 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 2, 2008 Accepting new patients
Nephrology Associates of Watertown PC Nephrology PastSince Jul 11, 2016 Accepting new patients

Locations

515 Park Place Cir
Ste 200
Mishawaka, IN 46545
Phone (574) 607-4724

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5893/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephen.blonsky@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1497855126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S88W12923 UPLAND LN",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507341",
            "telephone_number": "715-212-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S88W12923 UPLAND LN",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507341",
            "telephone_number": "715-212-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONSKY",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "27560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.