Individual provider Active NPI

Stephen Andrew Blatt, MD

  • Ophthalmology Physician
  • Lake Bluff, IL
National Provider Identifier
1568626257
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036126664 Issued in IL
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000907 IL Practitioner - Ophthalmology 1557556362 Reassigns benefits to 1 organization

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
Hinsdale Eye Center LLCGroup PAC ID 0345544557, 5 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
78.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126664ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Eye Center LLC Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
Healthy Connection Physical Medicine Inc Past Accepting new patients
Lakeside Medical Group LTD PastSince May 1, 2007 Accepting new patients

Locations

126 W 1st St
Hinsdale, IL 60521
Phone (630) 325-5200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.