Active NPI
Raymond Paul-Blanc, MD
- Urology Physician
- Mansfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 46432
- Practice address
- 16 Creeden St
#4
Mansfield, MA 02048-1212 - Phone
- (508) 339-3600
- Fax
- (508) 339-8831
- NPI assigned
- Jul 13, 2005
- Last updated
- Oct 18, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 46432 | MA | Primary |
Addresses
Primary practice location
16 Creeden St
#4
Mansfield, MA 02048-1212
Mailing address
340 Main St
Ste. 670
Worcester, MA 01608-1604
Phone (508) 754-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3068501 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Pine St
Suite 203
Norfolk, MA 02056-1680
Phone (508) 339-3600
70 Emory St
Attleboro, MA 02703-3181
Phone (781) 762-0471
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.71 of 100
- Quality
- 65.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46432 | MA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Urology Clinic Inc | Urology | Current | Accepting new patients |
| Raymond Paul-Blanc, MD, PC | Urology | Current | Accepting new patients |
| Gbu Bidco LLC | Urology | Current | Accepting new patients |
Locations
70 Emory St
Attleboro, MA 02703
Phone (508) 226-1693
161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082
16 Creeden St
#4
Mansfield, MA 02048
Phone (508) 339-3600
31 Pine St
Ste 203
Norfolk, MA 02056
Phone (508) 339-3600
31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800
340 Main St
Ste 670
Worcester, MA 01608
Phone (508) 754-3560
Networks
- goperspecta network organization-21861
Interoperability endpoints
- https://api.platform.athenahealth.com/5022/brand/1/csg/1/fhir/r4
- paulblanc@gbu.medalliesdirect.net
- raymond.paul-blanc.1@5022.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urology Physician
- Mansfield, MA
- NPI 1659438539
-
- Urology Physician
- Dedham, MA
- NPI 1003120411
-
- Urology Physician
- North Easton, MA
- NPI 1336147438
-
- Urology Physician
- Framingham, MA
- NPI 1972051977
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1831197748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAIN ST",
"address_2": "STE. 670",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081604",
"telephone_number": "508-754-3566",
"fax_number": "508-438-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CREEDEN ST",
"address_2": "#4",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481212",
"telephone_number": "508-339-3600",
"fax_number": "508-339-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL-BLANC",
"first_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "46432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3068501",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.
- 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.