Active NPI
Blair Christian Presti, MD
- Anatomic Pathology & Clinical Pathology Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25268
- Practice address
- 1008 Minnequa Ave
Pueblo, CO 81004-3733 - Phone
- (719) 560-4000
- NPI assigned
- Apr 13, 2006
- Last updated
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25268 | CO | Primary |
Addresses
Primary practice location
1008 Minnequa Ave
Pueblo, CO 81004-3733
Mailing address
PO Box 744127
Dallas, TX 75374-4127
Phone (719) 560-5030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01252683 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25268 | CO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Peaks Urology PC | Current | Accepting new patients | |
| Mountain States Pathology PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Mountain States Pathology PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
502 Greenwood Ave
Canon City, CO 81212
Phone (719) 275-2000
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
5700 Southwyck Blvd
Toledo, OH 43614
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc05404_mountainpeaksurology
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.
-
- Urology Physician
- Canon City, CO
- NPI 1467649756
-
- Anatomic Pathology & Clinical Pathology Physician
- Castle Rock, CO
- NPI 1669044640
-
- Anatomic Pathology & Clinical Pathology Physician
- Colorado Springs, CO
- NPI 1710941158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1568426948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744127",
"city": "DALLAS",
"state": "TX",
"postal_code": "753744127",
"telephone_number": "719-560-5030",
"fax_number": "719-560-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 MINNEQUA AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043733",
"telephone_number": "719-560-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTI",
"first_name": "BLAIR",
"middle_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CO",
"license": "25268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01252683",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
- Premier Back Rehabilitation Center, PC
- Premier Home Health, Inc (Abode Home Health of Colorado)
- Premium Direct Care Providers Inc.
- Prescription Shop LLC
- Prescription Shop LLC (Jim Sajbel's Prescription Shop)
- Prestige Dental Pueblo, PLLC (Prestige Dental Center South (Pueblo))
- Prestige Denture Clinic
- Prestige Peak Medical
- Stephen Peter Prewitt, PTA
- Alyssa Price
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.