Martin D Blidner, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD038941L Issued in PA

Practice address

150 Mundy Street
Mac II BLDG
Wilkes Barre, PA 18702

Phone

(570) 824-7117

Fax

(570) 825-7610

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ramos Rheumatology, P.C.

  • Rheumatology Physician
  • Avoca, PA
  • NPI 1023446150
  Medicare reassignment NPD
• Pinnacle Rehabilitation Associates PC

  • Physical Therapist
  • Kingston, PA
  • NPI 1134167729
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1598827792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUNDY STREET",
            "address_2": "MAC II BLDG",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-824-7117",
            "fax_number": "570-825-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIDNER",
        "first_name": "MARTIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD038941L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BS",
            "identifier": "0042762000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802107",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "802060",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Keelin Blake, CRNP
• William B. Blannett, CRNA
• Lucas Blaszyk, PT
• Louis C Blaum, MD
• Aleaha Marie Blazick, PA-C
• Mary Margaret Bliss, PHARMD
• Richard Harvey Blum, M.D.
• Stephanie Bly, PHARMD
• Kwaku Nyame Boakye, M.D.
• Channing Elizabeth Boback, PA-C

• Rheumatology Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.

Verify at the official NPI Registry.