NPIMap

Individual provider Active NPI

Blake Putman, M.D.

  • Family Medicine Physician
  • Caro, MI
National Provider Identifier
1659784338
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301105933 Issued in MI
Practice address
1800 W Caro Rd Ste VI
Caro, MI 48723-8209
Phone
(989) 673-6144
Fax
(989) 672-1800
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 17

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

View all 17

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Vitality Med PLLC
    • Family Medicine Physician
    • Caro, MI
    • NPI 1043806730

    5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control

    CMS ownership

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Caro Region 19 clinicians

Practice addresses (Care Compare)

1800 W Caro Rd
Suite VI
Caro, MI 48723-8209

1800 W Caro Rd VI
Putman Family Medicine
Caro, MI 48723-8209
Phone (989) 673-6144

401 N Hooper St
Caro, MI 48723-1476
Phone (989) 673-3141

Hospital & facility affiliations

  • Heartland Hospice Hospice, Midland, MI, CCN 231550
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • McLaren Caro Region Hospital, Caro, MI, CCN 231329
  • Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • McLaren Caro Region Nursing home, CCN 23Z329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions21
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20171005002403 MI Practitioner - Family Practice 3870884547 Reassigns benefits to 3 organizations

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Putman Family MedicineCaro, MI, CCN 238950 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 25, 2021
Jan 25, 2021
Jan 25, 2021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Pathology Services PC Current Accepting new patients
Vitality Med PLLC Family Medicine CurrentSince Jan 25, 2021 Accepting new patients
McLaren Thumb Region CurrentSince Jan 25, 2021 Accepting new patients
McLaren Caro Region CurrentSince Feb 4, 2021 Accepting new patients
McLaren Thumb Region Current Accepting new patients
McLaren Caro Region CurrentSince Feb 4, 2021 Accepting new patients
McLaren Thumb Region CurrentSince Jan 25, 2021 Accepting new patients
Tuscola County Medical Care Facility Past Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1800 W Caro Rd
Ste Vi
Caro, MI 48723
Phone (989) 673-6144

1800 W Caro Rd
Caro, MI 48723
Phone (989) 625-8399

705 E Frank St
Caro, MI 48723
Phone (989) 673-1670

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

Interoperability endpoints

  • Direct secure messaging: blake.putman.1@23356.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23356/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bputman34248@direct.covenanthealthcare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301105933 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1800 W Caro Rd Ste VI
Caro, MI 48723-8209

Mailing address

1800 W Caro Rd Ste VI
Caro, MI 48723-8209
Phone (989) 673-6144

Other practice location 1

705 E Frank St
Caro, MI 48723-1623
Phone (989) 673-6144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2023.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1659784338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CARO RD STE VI",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238209",
            "telephone_number": "989-673-6144",
            "fax_number": "989-672-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CARO RD STE VI",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238209",
            "telephone_number": "989-673-6144",
            "fax_number": "989-672-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 E Frank St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231623",
            "country_code": "US",
            "telephone_number": "989-673-6144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301105933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.