Active NPI
Blaine Francis Washington II, M.D.
- Physical Medicine & Rehabilitation Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DR.0069091
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (303) 788-5000
- NPI assigned
- Jul 1, 2008
- Last updated
- Dec 14, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 75024 | GA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036123904 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DR.0069091 | CO | Primary |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (281) 724-3050
Other practice location 1
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (847) 289-5727
Other practice location 2
6584 Professional Pl
Suite A
Riverdale, GA 30274-4942
Phone (770) 477-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.123904 | Other | IL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0069091 | CO | MD | Physical Medicine & Rehabilitation Physician |
| 75024 | GA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Genesis Health System | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Life Orthopaedic & Spine Center | Past | Accepting new patients |
Organizations & group practices 3
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 Genesis Medical Center - Physical Medicine and Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Davenport, IA
- NPI 1760434658
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Specialist
- Riverdale, GA
- NPI 1922337120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1770745713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 WOODSTEAD CT STE 208",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801480",
"telephone_number": "281-724-3050",
"fax_number": "281-724-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "303-788-5000"
}
],
"practiceLocations": [
{
"address_1": "7435 W Talcott Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606313707",
"country_code": "US",
"telephone_number": "847-289-5727",
"fax_number": "847-888-5469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6584 Professional Pl",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "GA",
"postal_code": "302744942",
"country_code": "US",
"telephone_number": "770-477-1115",
"fax_number": "770-477-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHINGTON",
"first_name": "BLAINE",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2022-12-14",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "75024",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036123904",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "DR.0069091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036.123904",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.