Dennis Michael Blankenship, M.D.
Individual provider Active NPI Nephrology Physician · Texarkana, AR
NPI 1821086547 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1821086547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- R3130 (AR)
- Practice address
- 422 Beech St
Texarkana, AR 71854-5310 - Phone
- (870) 773-1111
- Fax
- (870) 772-1354
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Nebraska College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
422 Beech St
Texarkana, AR 71854-5310
Hospital & facility affiliations
- Vamana, Inc
- Hope Dialysis Center
- Christus St Michael Health System
- Post Acute Medical Specialty Hospital of Texarkana
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040724000059 | TX | Practitioner - Internal Medicine | 9032003207 | Practice locations: Texarkana, TX |
| I20110207000526 | AR | Practitioner - Nephrology |
9032003207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3130 | AR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. Michael Blankenship, MD | Nephrology | Current |
Accepting new patients |
| Vamana, Inc. | Past | Accepting new patients | |
| Vamana, Inc. | Past | Accepting new patients | |
| Texarkana Regional Healthcare Network | Past | Accepting new patients | |
| Texarkana Kidney Disease & Hypertension Center, Inc. | Past | Accepting new patients | |
| Vamana Inc | Past | Accepting new patients | |
| Pam Squared at Texarkana, LLC | Past | Accepting new patients | |
| Texarkana Kidney Disease & Hypertension Center, Inc. | Past |
Accepting new patients |
Locations
422 Beech St
Texarkana, AR 71854
Phone (870) 773-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R3130 | AR | Yes |
Addresses
Primary practice location
422 Beech St
Texarkana, AR 71854-5310
Mailing address
422 Beech St
Texarkana, AR 71854-5310
Phone (870) 773-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107680001 | Medicaid | AR | |
| 50512 | Other | AR | BLUE CROSS BLUE SHIELD |
Other names
- Dennis Blankenship
Other providers in Texarkana, AR
- Debra K Bilbo
- Nicole Ella Billingsley
- Jessica Bishop
- Brent Blackburn
- Jean-Michael Blanc
- Kevin R. Bolt
- Courtney Bone
- Border City Chiropractic
- Pamela Brackman
- Christal Ann Bradford
All providers in Texarkana, AR · Nephrology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.