Active NPI
Joe Blumenau, M.D., F.A.A.F.P.
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1801993878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F.0135
- Practice address
- 5715 Still Forest Dr
Dallas, TX 75252-4916 - Phone
- (972) 931-2586
- Fax
- (972) 931-2586
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F.0135 | TX | Primary |
Addresses
Primary practice location
5715 Still Forest Dr
Dallas, TX 75252-4916
Mailing address
5715 Still Forest Dr
Dallas, TX 75252-4916
Phone (972) 931-2586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 20, 2016 through Jan 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F.0135 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1801993878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 STILL FOREST DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752524916",
"telephone_number": "972-931-2586",
"fax_number": "972-931-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 STILL FOREST DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752524916",
"telephone_number": "972-931-2586",
"fax_number": "972-931-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENAU",
"first_name": "JOE",
"name_prefix": "Dr.",
"credential": "M.D., F.A.A.F.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F.0135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.