Individual provider Active NPI

David A Blanco, MD

  • Pediatric Gastroenterology Physician
  • Center Valley, PA
National Provider Identifier
1619198769
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
W2403 Issued in TX
Practice address
5425 Lanark Rd
Center Valley, PA 18034-8697
Phone
(215) 427-6778
NPI assigned
May 2, 2007
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X MD440161C PA
Pediatric Gastroenterology Physician 2080P0206X W2403 TX Primary

Addresses

Primary practice location

5425 Lanark Rd
Center Valley, PA 18034-8697

Mailing address

5425 Lanark Rd
Center Valley, PA 18034-8697
Phone (917) 952-5328

Other practice location 1

540 Madison Oak Dr Ste 620
San Antonio, TX 78258-3924
Phone (210) 640-1630

Other practice location 2

3011 W Loop 1604 N Ste 310
San Antonio, TX 78251-3963
Phone (210) 640-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20101027000520 PA Practitioner - Pediatric Medicine 7810181567 Reassigns benefits to 2 organizations
I20260218001388 TX Practitioner - Gastroenterology 7810181567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14201 Dallas Pkwy
Dallas, TX 75254-2916

PO Box
Belfast, ME 04915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD440161CPAMDPediatric Gastroenterology Physician
W2403TXMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jul 1, 2011 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 9, 2026 Accepting new patients
Tower Health Medical Group Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince May 5, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 9, 2026 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince May 5, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2011 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5425 Lanark Rd
Center Valley, PA 18034
Phone (484) 653-5437

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

3011 W Loop 1604 N
Ste 310
San Antonio, TX 78251
Phone (210) 598-5605

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

540 Madison Oak Dr
Ste 620
San Antonio, TX 78258
Phone (210) 640-1630

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

Interoperability endpoints

  • Direct secure messaging: david.blanco@slpg.direct-sluhn.org

Organizations & group practices 10

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1619198769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "917-952-5328",
            "fax_number": "215-427-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "215-427-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Madison Oak Dr Ste 620",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583924",
            "country_code": "US",
            "telephone_number": "210-640-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 W Loop 1604 N Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513963",
            "country_code": "US",
            "telephone_number": "210-640-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "MD440161C",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "W2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.