Active NPI
Ronald J Blevins, MD
- Otolaryngology Physician
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01032755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100345510B | Medicaid | IN |
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
Enrollment records 1
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
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
- Ascension St Vincent Anderson
- Ascension St Vincent Fishers
- Community Hospital of Anderson and Madison County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032755 | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | 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
- rblevins52151@ecommunitydirect.com
- 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.
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
dba Ascension St Vincent Fishers
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
dba Ascension St. Vincent Anderson
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.