Individual provider Active NPI

Raymond Paul-Blanc, MD

  • Urology Physician
  • Mansfield, MA
National Provider Identifier
1831197748
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
46432 Issued in MA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3068501MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407001108 MA Practitioner - Urology 9739136086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Boston Urology LLCGroup PAC ID 1153516513, 44 clinicians

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 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46432MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Urology Clinic Inc Urology Current Accepting new patients
Raymond Paul-Blanc, MD, PC Urology CurrentSince Nov 1, 2007 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

  • FHIR API: https://api.platform.athenahealth.com/5022/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paulblanc@gbu.medalliesdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.