Active NPI
David A Blanco, MD
- Pediatric Gastroenterology Physician
- Center Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- W2403
- Practice address
- 5425 Lanark Rd
Center Valley, PA 18034-8697 - Phone
- (215) 427-6778
- NPI assigned
- May 2, 2007
- Last updated
- May 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD440161C | PA | MD | Pediatric Gastroenterology Physician |
| W2403 | TX | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | 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 | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc | Current | Accepting new patients | |
| Tower Health Medical Group | Current | 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
- 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.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Dermatology Associates
- Dermatology Physician
- Easton, PA
- NPI 1821573619
-
dba Dermatology - Tower Health Medical Group
- Dermatology Physician
- Wyomissing, PA
- NPI 1295150035
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Maternal & Fetal Medicine Physician
- Fountain Hill, PA
- NPI 1003867623
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.