Individual provider Active NPI

Pierre Emmanuel Blais, M.D.

  • Gastroenterology Physician
  • Seattle, WA
National Provider Identifier
1609138452
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
60821860 Issued in WA
Practice address
11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705
Phone
(206) 365-4492
Fax
(206) 368-3456
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10043076 TX
Gastroenterology Physician 207RG0100X 2015016238 MO
Gastroenterology Physician 207RG0100X 60821860 WA Primary

Addresses

Primary practice location

11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705

Mailing address

11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705
Phone (206) 365-4492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180515000891 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 4082978374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600

11695 NE 4TH St
Bellevue, WA 98004-5268
Phone (425) 637-1855

33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400

4575 Sand Point Way NE
Suite 108
Seattle, WA 98105-3999
Phone (206) 525-8000

620 5TH Ave S
Suite 200
Kirkland, WA 98033-6736
Phone (425) 814-5100

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600

Hospital & facility affiliations

  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10043076TXMDInternal Medicine Physician
2015016238MOMDGastroenterology Physician
60821860WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center Gastroenterology CurrentSince Apr 9, 2020 Accepting new patients
Virginia Mason Medical Center Gastroenterology CurrentSince Apr 9, 2020 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1609138452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11027 MERIDIAN AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331705",
            "telephone_number": "206-365-4492",
            "fax_number": "206-368-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 MERIDIAN AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331705",
            "telephone_number": "206-365-4492",
            "fax_number": "206-368-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIS",
        "first_name": "PIERRE",
        "middle_name": "EMMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10043076",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2015016238",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "60821860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.