Individual provider Active NPI

Barbara Aldana Blanco, M.D.

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1669834966
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2187 Issued in IL
Practice address
88 E Newton St # C515
Boston, MA 02118-2308
Phone
(617) 638-8442
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2187 IL Primary

Addresses

Primary practice location

88 E Newton St # C515
Boston, MA 02118-2308

Mailing address

88 E Newton St
# C515
Boston, MA 02118
Phone (617) 638-8442

Other names 1

  • Barbara Aldana Blanco Pellegrino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220418000112 NM Practitioner - General Surgery 5597057653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Practices, LLCGroup PAC ID 7618974858, 107 clinicians

Practice addresses (Care Compare)

2530 S Telshor Blvd
Suite 103
Las Cruces, NM 88011-4974
Phone (575) 556-6400

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2187ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices LLC CurrentSince Feb 14, 2022 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Feb 14, 2022 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC Past Accepting new patients

Locations

721 E Holly St
Ste B
Deming, NM 88030
Phone (575) 546-6010

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

2530 S Telshor Blvd
Ste 103
Las Cruces, NM 88011
Phone (575) 556-6400

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: barbara.blanco.1@19849.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1669834966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E NEWTON ST",
            "address_2": "# C515",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E NEWTON ST # C515",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "BARBARA",
        "middle_name": "ALDANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BLANCO PELLEGRINO",
            "middle_name": "ALDANA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.