Active NPI
Stephen Andrew Blatt, MD
- Ophthalmology Physician
- Lake Bluff, IL
National Provider Identifier
1568626257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036126664
- Practice address
- 900 N Shore Dr
#140
Lake Bluff, IL 60044-2243 - Phone
- (312) 504-3433
- NPI assigned
- Jul 11, 2008
- Last updated
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036126664 | IL | Primary |
Addresses
Primary practice location
900 N Shore Dr
#140
Lake Bluff, IL 60044-2243
Mailing address
900 N Shore Dr
#140
Lake Bluff, IL 60044-2243
Phone (312) 504-3433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 W 1St St
Hinsdale, IL 60521-4013
Phone (630) 325-5200
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.68 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126664 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinsdale Eye Center LLC | Ophthalmology | Current | Accepting new patients |
| Healthy Connection Physical Medicine Inc | Past | Accepting new patients | |
| Lakeside Medical Group LTD | Past | Accepting new patients |
Locations
126 W 1st St
Hinsdale, IL 60521
Phone (630) 325-5200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- stephen.blatt.p1@direct.hinsdaleeyecenter.nextgenshare.com
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.
-
- Ophthalmology Physician
- Hinsdale, IL
- NPI 1992176580
-
- General Practice Physician
- Lockport, IL
- NPI 1770860124
-
- Adolescent Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1790809804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1568626257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N SHORE DR",
"address_2": "#140",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442243",
"telephone_number": "312-504-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N SHORE DR",
"address_2": "#140",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442243",
"telephone_number": "312-504-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATT",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036126664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.