Carlos Jesus Blattner, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101032582 Issued in VA

Practice address

227 Hospital Drive
Galax, VA 24333-2228

Phone

(276) 236-2909

Fax

(276) 236-8845

NPI assigned

Oct 19, 2006

Last updated

Apr 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA, DC, NC3 enrollments

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 3

Specialty

Obstetrics/Gynecology

Education

Virginia Commonwealth University, School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Physicians for Women IncGroup PAC ID 9436303336, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cblattner@brpfwi-nc.direct.office.nextgen.com
• FHIR API: https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• DLP Twin County Regional Healthcare LLC

  dba Twin County Regional Hospital

  • General Acute Care Hospital
  • Galax, VA
  • NPI 1114292141

  Other

  CMS ownership
• DLP Twin County Regional Healthcare LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1801161369

  Other

  CMS ownership

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.

• Blue Ridge Physicians for Women, Inc

  • Obstetrics & Gynecology Physician
  • Galax, VA
  • NPI 1194082149
  Medicare reassignment Care Compare group NPD Authorized official
• DLP Twin County Physician Practices LLC

  dba Twin County Sleep Center

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Galax, VA
  • NPI 1962078527
  Medicare reassignment NPD
• Fairfax Loudoun OBGYN, Inc

  dba National Foot and Ankle Specialist

  • Gynecology Physician
  • Fairfax, VA
  • NPI 1922356054

  DC, Obstetrics & Gynecology

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg North Carolina, P.C.

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1124300876
  Medicare reassignment NPD
• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394

  DC

  Medicare reassignment
• DLP Twin County Physician Practices LLC

  dba Twin County Obstetrics & Gynecology

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925

  Obstetrics & Gynecology

  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Twin County Regional Healthcare LLC

  dba Twin County Regional Hospital

  • General Acute Care Hospital
  • Galax, VA
  • NPI 1114292141
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1801161369

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1801978721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DRIVE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332228",
            "telephone_number": "276-236-2909",
            "fax_number": "276-236-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DRIVE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332228",
            "telephone_number": "276-236-2909",
            "fax_number": "276-236-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTNER",
        "first_name": "CARLOS",
        "middle_name": "JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101032582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6209068",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "241654",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "890650V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Life Counseling Services LLC
• Jacqueline Billings-Mabe, PHARMD.
• Gil Pamittan Binarao Jr., NP
• Bio-Medical Applications of Virginia, Inc. (Bma Twin County)
• Don Howard Bivins, MD
• Blue Ridge Eye Care Associates PLLC
• Blue Ridge Home Health Care (Blue Ridge Home Health Care Services, Inc.)
• Blue Ridge Physicians for Women, Inc
• Blue Ridge Support Services, LLC
• Blue Ridge Surgical Assoc., PC

• Obstetrics & Gynecology Physician in Galax, VA
• Providers in Galax, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.