Active NPI
Tara L. F. Blasingame, D.P.M.
- Foot Surgery Podiatrist
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- AL164
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510452548 | Other | AL | TRICARE |
| 051514659 | Other | AL | BLUE CROSS BLUE SHIELD |
| 890010830 | Medicaid | AL | |
| 890010840 | Medicaid | AL | |
| 051514658 | Other | AL | BLUE 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
Enrollment records 1
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.76
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 60 |
| Removal of nail tissue | 334 |
| Removal or shaving of skin growth | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL164 | AL | MD | Foot Surgery Podiatrist |
| 714 | GA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Foot Group P C | Foot Surgery | Current | Accepting new patients |
| The Foot Group P C | Foot Surgery | Current | 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.
-
- Foot Surgery Podiatrist
- Madison, AL
- NPI 1467433722
-
- Foot Surgery Podiatrist
- Athens, AL
- NPI 1154684819
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.