Individual provider Active NPI

Rueben Benjamin Blancas, CRNA

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
National Provider Identifier
1801029996
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
218977 Issued in NC
Practice address
145 Kimel Park Dr
Suite 120
Winston Salem, NC 27103-6984
Phone
(336) 768-3212
Fax
(336) 768-9019
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 218977 NC Primary

Addresses

Primary practice location

145 Kimel Park Dr
Suite 120
Winston Salem, NC 27103-6984

Mailing address

145 Kimel Park Dr
Suite 120
Winston Salem, NC 27103-6984
Phone (336) 768-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090908000595 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315092764 Reassigns benefits to 6 organizations
I20110929000140 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315092764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Services PAGroup PAC ID 7012937105, 54 clinicians
Piedmont Sedation Associates, LLCGroup PAC ID 9436649878, 19 clinicians
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians

Practice addresses (Care Compare)

1834 Graves Mill Rd
Forrest, VA 24551-3967
Phone (434) 385-5600

1901 S Hawthorne Rd
Suite 308
Winston Salem, NC 27103-3914
Phone (336) 914-5114

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3090
Phone (336) 765-6373

Merit-based Incentive Payment System (MIPS)

Final score
73.38 of 100Reported as group
Quality
77.5
Improvement activities
20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2025 Accepting new patients
Piedmont Stone Center PLLC CurrentSince Jan 1, 2025 Accepting new patients
Providence Anesthesiology Associates, P.a. CurrentSince Nov 1, 2025 Accepting new patients
Surgery Center Anesthesia Providers PC Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2012 Accepting new patients
Piedmont Triad Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
LJP Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

507 N Lindsay St
High Point, NC 27262

445 Pineview Dr
Ste 240
Kernersville, NC 27284
Phone (336) 448-2427

1907 S Hawthorne Rd
Winston Salem, NC 27103

1901 S Hawthorne Rd
Ste 308
Winston Salem, NC 27103
Phone (336) 448-2427

145 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-1770

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1801029996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 120",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-768-3212",
            "fax_number": "336-768-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 120",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-768-3212",
            "fax_number": "336-768-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCAS",
        "first_name": "RUEBEN",
        "middle_name": "BENJAMIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "218977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.