NPIMap

Individual provider Active NPI

Richard A Blatny Jr., MD

  • Family Medicine Physician
  • Fairbury, NE
National Provider Identifier
1699763003
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21843 Issued in NE
Practice address
825 22ND St
Fairbury, NE 68352-1221
Phone
(402) 729-3361
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21843 NE Primary

Addresses

Primary practice location

825 22ND St
Fairbury, NE 68352-1221

Mailing address

825 22ND St
Fairbury, NE 68352-1221
Phone (402) 729-3361

Other identifiers 1

IdentifierTypeStateIssuer
100397810AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20070914000438 NE Practitioner - Family Practice 3577657014 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thayer County Memorial HospitalGroup PAC ID 3577559145, 11 clinicians
Jefferson Community Health Center IncGroup PAC ID 2668574542, shared by 5 NPIs, 24 clinicians

Practice addresses (Care Compare)

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

Hospital & facility affiliations

  • Angels Care Progressive Home Health Home health agency, Grand Island, NE, CCN 287144
  • Cottonwood Hospice, LLC Hospice, Beatrice, NE, CCN 281504
  • Aseracare Hospice Hospice, York, NE, CCN 281544
  • Thayer County Health Services Hospital, Hebron, NE, CCN 281304
  • Jefferson Community Health & Life Hospital, Fairbury, NE, CCN 281319
  • Brodstone Healthcare Hospital, Superior, NE, CCN 281315
  • Heritage Care Center Nursing home, Fairbury, NE, CCN 285262
  • Parkview Haven Nursing Home Nursing home, Deshler, NE, CCN 285261
  • Thayer County Health Services Nursing home, CCN 28Z304

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thayer County Memorial Hospital CurrentSince Jan 5, 2022 Accepting new patients
Thayer County Memorial Hospital CurrentSince Jan 5, 2022 Accepting new patients
VSL Fairbury LLC Past Accepting new patients

Locations

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

Interoperability endpoints

  • Direct secure messaging: rblatnyjr@yourcarecommunity.org

Organizations & group practices 5

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 9

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1699763003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 22ND ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521221",
            "telephone_number": "402-729-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 22ND ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521221",
            "telephone_number": "402-729-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATNY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100397810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, NE

Sources for this page

Verify at the official NPI Registry.