Stephen Andrew Blatt, MD
Individual provider Active NPI Ophthalmology Physician · Lake Bluff, IL
NPI 1568626257 · NPPES record last updated Feb 5, 2014
Key facts
- NPI
- 1568626257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 036126664 (IL)
- Practice address
- 900 N Shore Dr
#140
Lake Bluff, IL 60044-2243 - Phone
- (312) 504-3433
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
- Hinsdale Eye Center LLC
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101105000907 | IL | Practitioner - Ophthalmology | 1557556362 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
| Lakeside Medical Group LTD | Past |
Accepting new patients | |
| Healthy Connection Physical Medicine Inc | Past | Accepting new patients |
Locations
126 W 1st St
Hinsdale, IL 60521
Phone (630) 325-5200
Interoperability endpoints
- stephen.blatt.p1@direct.hinsdaleeyecenter.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036126664 | IL | Yes |
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
Other providers in Lake Bluff, IL
- Jessica Marie Bess
- Jennifer A Bevan
- Vikas Bhatara
- John Birdsall
- Black Excellence Psychotherapy PLLC
- Blue Jays Home Care, LLC
- John Bjorn Boquist
- Katherine Born
- Michelle Bracamontes
- Ryanne R Bright
All providers in Lake Bluff, IL · Ophthalmology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.