Individual provider Active NPI

Ronald L. Blumoff, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1861498982
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MDF7702 Issued in TX
Practice address
6800 Park Ten Blvd
Ste 154 E
San Antonio, TX 78213-4211
Phone
(210) 828-2503
Fax
(210) 828-0590
NPI assigned
Jun 23, 2005
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MDF7702 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd
Ste 154 E
San Antonio, TX 78213-4211

Mailing address

6800 Park Ten Blvd
Ste 154 E
San Antonio, TX 78213-4211
Phone (210) 828-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDF7702TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Varicose Vein Clinic - Northwest, P.a. Vascular Surgery Past Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
Peripheral Vascular Associates, P.a. Vascular Surgery PastSince Oct 1, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1861498982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "STE 154 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-828-2503",
            "fax_number": "210-828-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "STE 154 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-828-2503",
            "fax_number": "210-828-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMOFF",
        "first_name": "RONALD",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "MDF7702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.