Individual provider Active NPI

Ronald J Blevins, MD

  • Otolaryngology Physician
  • Anderson, IN
National Provider Identifier
1699880773
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01032755 Issued in IN
Practice address
2101 Jackson St Ste 115
Anderson, IN 46016-4386
Phone
(765) 643-6961
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01032755 IN Primary

Addresses

Primary practice location

2101 Jackson St Ste 115
Anderson, IN 46016-4386

Mailing address

2101 Jackson St Ste 115
Anderson, IN 46016-4386

Other identifiers 1

IdentifierTypeStateIssuer
100345510BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100329000839 IN Practitioner - Otolaryngology 4082614581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13421 Old Meridian St
Suite 201
Carmel, IN 46032-1411
Phone (765) 622-7352

13914 Southeastern Pkwy
Suite 320
Fishers, IN 46037-7127
Phone (317) 415-9527

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032755INMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jan 21, 2013 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jan 21, 2013 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2101 Jackson St
Ste 115
Anderson, IN 46016
Phone (317) 643-6961

1214 E National Ave
Ste 90A
Brazil, IN 47834
Phone (812) 442-2900

13421 Old Meridian St
Ste 201
Carmel, IN 46032
Phone (317) 848-6900

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

7250 Clearvista Dr
Ste 310
Indianapolis, IN 46256
Phone (317) 577-2750

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Interoperability endpoints

  • Direct secure messaging: rblevins52151@ecommunitydirect.com
  • Direct secure messaging: ronald.blevins.1@7598.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1699880773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 115",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 115",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164386",
            "telephone_number": "765-643-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01032755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345510B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.