Individual provider Active NPI

Tara L. F. Blasingame, D.P.M.

  • Foot Surgery Podiatrist
  • Madison, AL
National Provider Identifier
1770565699
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
AL164 Issued in AL
Practice address
131 W Dublin Dr
Suite a
Madison, AL 35758-1787
Phone
(256) 772-8566
Fax
(256) 774-8211
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X AL164 AL Primary
Foot Surgery Podiatrist 213ES0131X 714 GA

Addresses

Primary practice location

131 W Dublin Dr
Suite a
Madison, AL 35758-1787

Mailing address

PO Box 6487
Huntsville, AL 35813-0487
Phone (256) 772-8566

Other identifiers 5

IdentifierTypeStateIssuer
510452548OtherALTRICARE
051514659OtherALBLUE CROSS BLUE SHIELD
890010830MedicaidAL
890010840MedicaidAL
051514658OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000502 AL Practitioner - Podiatry 1850499757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 W Dublin Dr
Suite a
Madison, AL 35758-1798
Phone (256) 772-8566

Hospital & facility affiliations

  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions60
Removal of nail tissue334
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL164ALMDFoot Surgery Podiatrist
714GAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Foot Group P C Foot Surgery CurrentSince Apr 16, 2003 Accepting new patients
The Foot Group P C Foot Surgery CurrentSince Jun 1, 2003 Accepting new patients

Locations

105 W Dublin Dr
#B
Madison, AL 35758
Phone (256) 772-8566

131 W Dublin Dr
#A
Madison, AL 35758
Phone (256) 772-8566

Organizations & group practices 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1770565699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6487",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358130487",
            "telephone_number": "256-772-8566",
            "fax_number": "256-774-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W DUBLIN DR",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581787",
            "telephone_number": "256-772-8566",
            "fax_number": "256-774-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASINGAME",
        "first_name": "TARA",
        "middle_name": "L. F.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "AL164",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "510452548",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051514659",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890010830",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890010840",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051514658",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.