Individual provider Active NPI

Joseph Blazuk, MD

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1528379955
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
51470 Issued in AZ
Practice address
2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4872
Phone
(602) 277-6211
Fax
(866) 846-8709
NPI assigned
Jun 30, 2010
Last updated
Dec 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244469 MA
Physical Medicine & Rehabilitation Physician 208100000X 51470 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4872

Mailing address

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4872
Phone (602) 277-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151124002414 AZ Practitioner - Physical Medicine and Rehabilitation 2264732213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Massachusetts Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toca at Banner Health LLCGroup PAC ID 3072934777, 26 clinicians

Practice addresses (Care Compare)

9377 E Bell Rd
Suite 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
60.29
Promoting interoperability
98
Improvement activities
40
Cost
71.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244469MAMDInternal Medicine Physician
51470AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toca at Banner Health LLC Physical Medicine & Rehabilitation CurrentSince May 1, 2020 Accepting new patients
Toca at Banner Health LLC Physical Medicine & Rehabilitation CurrentSince May 1, 2020 Accepting new patients
Toca ASC, LLC Past Accepting new patients

Locations

18700 N 64th Dr
Ste 205
Glendale, AZ 85308
Phone (602) 536-7480

18700 N 64th Dr
Ste 220
Glendale, AZ 85308

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Tempe, AZ 85282
Phone (602) 512-8607

5002 S Mill Ave
Ste 101
Tempe, AZ 85282

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.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1528379955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-6211",
            "fax_number": "866-846-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-6211",
            "fax_number": "866-846-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZUK",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244469",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "51470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.