Blaise Bellows, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD60491501 Issued in WA

Practice address

3235 37TH PL S
Seattle, WA 98144-7017

Phone

(360) 346-2220

NPI assigned

May 23, 2011

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, OR2 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

Specialty

Emergency Medicine

Education

University of Washington School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ketchikan Emergency Physicians, LLCGroup PAC ID 8820500135, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303
• Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Merit-based Incentive Payment System (MIPS)

Final score

79.12 of 100Reported as group

Quality

81.91

Promoting interoperability

100

Improvement activities

40

Cost

40.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ketchikan Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1801690854
  Medicare reassignment Care Compare group NPD
• Juneau Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Juneau, AK
  • NPI 1912393356
  Medicare reassignment NPD
• Nes Washington, Inc.

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1215239595
  Medicare reassignment NPD
• Providence Health & Services Oregon

  dba Providence Seaside Hospital

  • Critical Access Hospital
  • Seaside, OR
  • NPI 1578500492
  Medicare reassignment

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

• Peacehealth

  dba Ketchikan Medical Center

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539
  Care Compare affiliation
• Providence Health & Services Oregon

  dba Providence Seaside Hospital

  • Critical Access Hospital
  • Seaside, OR
  • NPI 1578500492
  Care Compare affiliation

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1629361761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 37TH PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981447017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 37TH PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981447017",
            "telephone_number": "360-346-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOWS",
        "first_name": "BLAISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60491501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hali Anne Bellisario, LICSW
• Mary Ellen Belliveau, MA, LMHCA
• Edessa A. Bello-Rapoport, PT
• Adriana Carolina Bello, MD
• Veronica C Bello, D.D.S., M.S.D.
• Belltown Seattle Dental LLC (Comfort Dental Belltown)
• Belltown Spine and Wellness Center, Inc., P.S.
• Itzel Belmont
• Martina Belozerco, RN
• Alexander Belser, PHD

• Emergency Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.

Verify at the official NPI Registry.