Individual provider Active NPI

Katie C. Blenner, M.D.

  • Anesthesiology Physician
  • Towson, MD
National Provider Identifier
1750728317
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D83819 Issued in MD
Practice address
6701 N Charles St
Towson, MD 21204-6881
Phone
(443) 829-2000
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D83819 MD Primary

Addresses

Primary practice location

6701 N Charles St
Towson, MD 21204-6881

Mailing address

6701 N. Charles Street
South Chapman BLDG Ste 102
Towson, MD 21204
Phone (443) 849-2459

Other names 1

  • Katie C. Blenner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20171006000711 MD Practitioner - Anesthesiology 7315212958 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Drexel University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBMC Hospital Based Services LLCGroup PAC ID 6002299369, 46 clinicians

Practice addresses (Care Compare)

6401 N Charles St
RM 4226
Baltimore, MD 21212-1016
Phone (443) 849-2121

Hospital & facility affiliations

  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D83819MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Sep 1, 2017 Accepting new patients
GBMC Hospital Based Services, LLC. Anesthesiology CurrentSince Jan 23, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2017 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

4940 Eastern Ave
Rm 588
Baltimore, MD 21224
Phone (410) 550-0942

6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121

600 N Wolfe St
Baltimore, MD 21287

6701 N Charles St
Ste 102
Towson, MD 21204
Phone (443) 849-2459

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

Interoperability endpoints

  • Direct secure messaging: kblenner161074@direct.hopkinsmedicine.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 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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1750728317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N. CHARLES STREET",
            "address_2": "SOUTH CHAPMAN BLDG STE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-2459",
            "fax_number": "443-849-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046881",
            "telephone_number": "443-829-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLENNER",
        "first_name": "KATIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D83819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BLENNER",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.