William James Blanke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01054117A Issued in IN

Practice address

801 Saint Marys Dr Ste 505E
Evansville, IN 47714-0528

Phone

(812) 491-3236

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

Saint Louis University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians

St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Gibson General Hospital Hospital, Princeton, IN, CCN 151319
• The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
• Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St Mary'S Medical Group, LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539
  Medicare reassignment Care Compare group NPD
• Primary Physicians Network LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1578786612
  NPD
• St Mary'S Medical Group, LLC

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• St. Mary'S Health, Inc

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287

  Family Medicine

  NPD (past)

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

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Deaconess Women'S Hospital of Southern Indiana, LLC

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1114023512
  Care Compare affiliation
• Gibson General Hospital Inc.

  • Critical Access Hospital
  • Princeton, IN
  • NPI 1558346007
  Care Compare affiliation
• St. Mary'S Health, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957
  Care Compare affiliation
• St. Mary'S Warrick Hospital, Inc.

  • Critical Access Hospital
  • Boonville, IN
  • NPI 1205828803
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1720048754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 505E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 505E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140528",
            "telephone_number": "812-491-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKE",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054117A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355180",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.blanke.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "801 Saint Marys Dr Ste 505E",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter L Blanc
• Abbigail Bland, PMHNP-BC
• Brent Bland, CRNA
• Teia L Bland, CST
• Cheryl Ann Blanford, RPH
• Adam R Blankenberger, DPT
• Grace Zoe Blankenship
• Michele Gaylynn Blankenship, OTR
• Herman Mack Blanton, M.D.
• Ellen Blessing-Haury, RN

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.

Verify at the official NPI Registry.