NPIMap

Individual provider Active NPI

Mark Robert Goldblatt, DO

  • Pulmonary Disease Physician
  • Asheville, NC
National Provider Identifier
1821087537
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2010-00831 Issued in NC
Practice address
30 Choctaw St
Suite a
Asheville, NC 28801-4513
Phone
(828) 255-7733
Fax
(828) 225-5207
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 737 SC
Pediatrics Physician 208000000X 737 SC
Internal Medicine Physician 207R00000X 2010-00831 NC
Pulmonary Disease Physician 207RP1001X 2010-00831 NC Primary

Addresses

Primary practice location

30 Choctaw St
Suite a
Asheville, NC 28801-4513

Mailing address

PO Box 603443
Charlotte, NC 28260-3443

Other identifiers 3

IdentifierTypeStateIssuer
951279MedicaidAZ
72032782MedicaidNM
00426369MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000225 NC Practitioner - Pulmonary Disease 2668400383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Sanford School of Medicine of University of South Dakota, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 6TH Ave W
Suite a
Hendersonville, NC 28739-4161
Phone (828) 693-0608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-00831NCMDPulmonary Disease Physician
737SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Aug 9, 2021 Accepting new patients
Henderson County Hospital Corporation CurrentSince Aug 9, 2021 Accepting new patients
Mission Hospitals Inc Current Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

705 6th Ave W
Hendersonville, NC 28739
Phone (828) 694-4552

705 6th Ave W
Ste A
Hendersonvlle, NC 28739
Phone (828) 639-3193

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Interoperability endpoints

  • Direct secure messaging: markgoldblatt@apcca.allscriptsdirect.net
  • Direct secure messaging: mgoldblatt221665@direct.unc.nchie.net

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 and National Provider Directory roles.

Hospital & facility affiliations 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1821087537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603443",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CHOCTAW ST",
            "address_2": "SUITE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014513",
            "telephone_number": "828-255-7733",
            "fax_number": "828-225-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "737",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "737",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00831",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2010-00831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951279",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72032782",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00426369",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.