NPIMap

Individual provider Active NPI

Douglas Blaty, D.O.

  • Orthopaedic Surgery Physician
  • Coeur d'Alene, ID
National Provider Identifier
1639517600
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
O-1231 Issued in ID
Practice address
850 W Ironwood Dr Ste 300
Coeur D Alene, ID 83814-4903
Phone
(208) 667-1376
Fax
(208) 292-0873
NPI assigned
Jun 11, 2013
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X O-1231 ID Primary

Addresses

Primary practice location

850 W Ironwood Dr Ste 300
Coeur D Alene, ID 83814-4903

Mailing address

850 W Ironwood Dr Ste 300
Coeur D Alene, ID 83814-4903
Phone (208) 667-1376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190323000032 ID Practitioner - Orthopedic Surgery 8022358308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Northwest Spine PLLCGroup PAC ID 6709885684, 2 clinicians

Practice addresses (Care Compare)

850 W Ironwood Dr
Suite 300
Coeur D Alene, ID 83814-4903
Phone (208) 667-1376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.3 of 100Reported as group
Quality
56.67
Improvement activities
20
Cost
75.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion352
Laminectomy or laminotomy (partial removal of spine bones)33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Northwest Spine PLLC Orthopaedic Surgery CurrentSince Aug 19, 2019 Accepting new patients
ASC Northwest LLC PastSince Jan 1, 2022 Accepting new patients

Locations

850 W Ironwood Dr
Ste 300
Coeur D Alene, ID 83814
Phone (208) 457-7078

Interoperability endpoints

  • Direct secure messaging: douglasblaty.inlandnorthwestspineandneurosurgery@126948.advancedmd-direct.com

Organizations & group practices 2

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.

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1639517600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-667-1376",
            "fax_number": "208-292-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-667-1376",
            "fax_number": "208-292-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATY",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "O-1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.