Individual provider Active NPI

Nina Carol Blumenthal, M.D.

  • Dermatology Physician
  • Westport, MA
National Provider Identifier
1508824475
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
74616 Issued in MA
Practice address
829 American Legion Hwy
Westport, MA 02790-4128
Phone
(508) 306-1400
Fax
(978) 371-0522
NPI assigned
May 2, 2006
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 74616 MA Primary

Addresses

Primary practice location

829 American Legion Hwy
Westport, MA 02790-4128

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050414001090 MA Practitioner - Dermatology 6800833401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Dermatology IncGroup PAC ID 3779860390, 10 clinicians

Practice addresses (Care Compare)

145 Faunce Corner Mall Rd
Suite J
North Dartmouth, MA 02747-6216
Phone (508) 993-7601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of tissue1-10
Removal of skin lesions1601
Removal or shaving of skin growth54
Skin biopsy462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74616MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Services Inc Dermatology CurrentSince Jul 10, 1991 Accepting new patients
Coastal Dermatology Inc Dermatology CurrentSince Mar 4, 2025 Accepting new patients
Dermatology Services ND Dermatology PastSince Jul 10, 1991 Accepting new patients

Locations

145 Faunce Corner Mall Rd
North Dartmouth, MA 02747
Phone (508) 993-7601

145 Faunce Corner Mall Rd
Ste J
North Dartmouth, MA 02747
Phone (508) 993-7601

829 American Legion Hwy
Westport, MA 02790
Phone (508) 306-1400

Organizations & group practices 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1508824475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 AMERICAN LEGION HWY",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027904128",
            "telephone_number": "508-306-1400",
            "fax_number": "978-371-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "NINA",
        "middle_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "74616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, MA

Sources for this page

Verify at the official NPI Registry.