Individual provider Active NPI

Aaron D Bleznak, MD

  • Surgery Physician
  • Newport News, VA
National Provider Identifier
1619984242
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101250542 Issued in VA
Practice address
109 Philip Roth St
Newport News, VA 23606-1393
Phone
(757) 873-6434
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101250542 VA Primary
Surgery Physician 208600000X MD040987E PA

Addresses

Primary practice location

109 Philip Roth St
Newport News, VA 23606-1393

Mailing address

109 Philip Roth St
Newport News, VA 23606-1393
Phone (757) 873-6434

Other practice location 1

120 Kings Way Ste 2600
Williamsburg, VA 23185-2554
Phone (757) 345-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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
I20040903000526 PA Practitioner - General Surgery 6103892815 Reassigns benefits to 1 organization
I20120217000005 VA Practitioner - General Surgery 6103892815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

109 Philip Roth St
Newport News, VA 23606-1393
Phone (757) 873-6434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy40
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040987EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Nov 20, 2023 Accepting new patients
Lancaster General Medical Group Surgery CurrentSince Jan 14, 2019 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. Surgery CurrentSince Nov 20, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2102 Harrisburg Pike
Ste 200
Lancaster, PA 17601

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

109 Philip Roth St
Newport News, VA 23606
Phone (757) 873-6434

120 Kings Way
Ste 2600
Williamsburg, VA 23185
Phone (757) 220-6823

3700 Battery Blvd
Ste 302
Williamsburg, VA 23185
Phone (757) 229-7939

Interoperability endpoints

  • Direct secure messaging: ableznak207295@direct.rivhs.com

Organizations & group practices 7

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 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1619984242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PHILIP ROTH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061393",
            "telephone_number": "757-873-6434",
            "fax_number": "757-873-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PHILIP ROTH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061393",
            "telephone_number": "757-873-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Kings Way Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852554",
            "country_code": "US",
            "telephone_number": "757-345-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEZNAK",
        "first_name": "AARON",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101250542",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD040987E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.