Andrew John Blazek, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36256 Issued in NE

Practice address

111 S 90TH St
Omaha, NE 68114-3907

Phone

(402) 397-9800

NPI assigned

May 8, 2019

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Specialty

Urology

Education

University of Nebraska College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenandoah Medical CenterGroup PAC ID 9436063237, shared by 7 NPIs, 52 clinicians

Urology Center PCGroup PAC ID 2961396833, 43 clinicians

Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Alegent Health - Mercy Hospital Corning IowaGroup PAC ID 0547154940, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• CHI Health - Mercy Corning Hospital, Corning, IA, CCN 161304
• Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as apm

Quality

82.13

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

66.5 of 100Reported as apm

Quality

90.33

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ablazek142291@direct.nebraskamed.com
• Direct secure messaging: andrew.blazek.1@7144.direct.athenahealth.com
• Direct secure messaging: andrew.blazek.p1@direct.tuc.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4

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.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment Care Compare group NPD
• Urology Center PC

  dba Urohealth Partners

  • Urology Physician
  • Omaha, NE
  • NPI 1114919875
  Medicare reassignment Care Compare group NPD
• Alegent Health - Mercy Hospital, Corning Iowa

  dba CHI Health Mercy Corning

  • Critical Access Hospital
  • Corning, IA
  • NPI 1699856260
  Medicare reassignment NPD
• Alegent Health - Mercy Hospital, Corning Iowa

  dba CHI Health Clinic

  • Family Medicine Physician
  • Corning, IA
  • NPI 1821134826
  Medicare reassignment NPD
• Shenandoah Medical Center

  • Critical Access Hospital
  • Shenandoah, IA
  • NPI 1184621096
  Medicare reassignment NPD
• Shenandoah Medical Center

  • Certified Registered Nurse Anesthetist
  • Shenandoah, IA
  • NPI 1497810972
  Medicare reassignment NPD
• Urology Center PC

  dba Urohealth Partners

  • Durable Medical Equipment & Medical Supplies
  • Fremont, NE
  • NPI 1851126643

  Urology

  NPD
• Alegent Health - Mercy Hospital, Corning, Iowa

  dba CHI Health Mercy Corning

  • Medicare Defined Swing Bed Hospital Unit
  • Corning, IA
  • NPI 1134204613
  NPD
• Alegent Health Mercy Hospital Corning, Iowa

  dba CHI Health Mercy Corning

  • Emergency Medicine Physician
  • Corning, IA
  • NPI 1649334574
  NPD
• Shenandoah Medical Center

  dba Shenandoah Physicians Clinic

  • Rural Health Clinic/Center
  • Shenandoah, IA
  • NPI 1427300201
  NPD
• Shenandoah Medical Center

  dba SMC Community Pharmacy

  • Community/Retail Pharmacy
  • Shenandoah, IA
  • NPI 1447937230
  NPD

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

• Alegent Creighton Health

  dba CHI Health Lakeside

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• Alegent Health - Mercy Hospital, Corning Iowa

  dba CHI Health Mercy Corning

  • Critical Access Hospital
  • Corning, IA
  • NPI 1699856260
  Care Compare affiliation
• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Care Compare affiliation
• Shenandoah Medical Center

  • Critical Access Hospital
  • Shenandoah, IA
  • NPI 1184621096
  Care Compare affiliation

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1881259489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEK",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "36256",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-52875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Femke Blaylock
• Joseph Blaylock
• Mary Elizabeth Blayney, LMHP CMSW
• Sarah Blayney, PTA
• Esther Blazauskas
• Elizabeth R. Blazek, RN
• Toni Ann Blazek, PNP
• Ericka Kristine Bleau, PLADC
• Jonathan Blecha, M.D.
• Paul Stevens Blecha, D.D.S.

• Urology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Urology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.

Verify at the official NPI Registry.