Individual provider Active NPI

Jeffery James Blonsky, M.D.

  • Gastroenterology Physician
  • Tulsa, OK
National Provider Identifier
1609896596
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
30250 Issued in OK
Practice address
10507 E 91St St # 270
Tulsa, OK 74133-5589
Phone
(918) 307-5480
NPI assigned
Jul 20, 2006
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04-31177 KS
Gastroenterology Physician 207RG0100X 11673 ND
Gastroenterology Physician 207RG0100X 30250 OK Primary

Addresses

Primary practice location

10507 E 91St St # 270
Tulsa, OK 74133-5589

Mailing address

6465 S Yale Ave Ste 1002
Tulsa, OK 74136-7812
Phone (918) 481-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140625000783 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 4880881861 Reassigns benefits to 3 organizations
I20221118001507 TX Practitioner - Internal MedicinePractitioner - Gastroenterology 4880881861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Adult Gastroenterology Associates IncGroup PAC ID 0840223921, 15 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

333 S 38TH St
Suite H
Muskogee, OK 74401-4937
Phone (918) 438-7050

4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 438-7050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
75.14
Promoting interoperability
98
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31177KSMDGastroenterology Physician
11673NDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Oct 1, 2022 Accepting new patients
Adult Gastroenterology Associates Inc Gastroenterology CurrentSince Jul 1, 2014 Accepting new patients
Cherokee Nation CurrentSince Oct 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Stillwater Medical Center Authority CurrentSince Aug 1, 2018 Accepting new patients
Creek Nation Hospital & Clinics Gastroenterology CurrentSince Dec 13, 2022 Accepting new patients
Stillwater Medical Center Authority Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Anesthesia Associates of Oklahoma PLLC Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 30, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 30, 2022 Accepting new patients
Bailey Medical Center, LLC Past Accepting new patients
Cherokee Nation Past Accepting new patients
Oklahoma Surgical Hospital, LLC Past Accepting new patients
Cherokee Nation Past Accepting new patients

Locations

4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

10507 E 91st St
Ste 270
Tulsa, OK 74133
Phone (918) 307-5480

4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050

6465 S Yale Ave
Ste 1002
Tulsa, OK 74136
Phone (918) 481-4700

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1609896596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 1002",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367812",
            "telephone_number": "918-481-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 E 91ST ST # 270",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335589",
            "telephone_number": "918-307-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONSKY",
        "first_name": "JEFFERY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-31177",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ND",
            "license": "11673",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "30250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.