Individual provider Active NPI

Robert Dale Bleza, MD

  • Surgery Physician
  • Bluffton, IN
National Provider Identifier
1891893731
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01045671A Issued in IN
Practice address
303 S Main St
Bluffton, IN 46714-2503
Phone
(260) 353-2021
Fax
(260) 479-2990
NPI assigned
Sep 21, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010145671A IN
Surgery Physician 208600000X 01045671A IN Primary

Addresses

Primary practice location

303 S Main St
Bluffton, IN 46714-2503

Mailing address

PO Box 728
Schererville, IN 46375-0728
Phone (219) 663-8110

Other practice location 1

Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000

Other practice location 2

115th E 113th AVE
Crown Point, IN 46307-1097
Phone (219) 663-8110

Other identifiers 2

IdentifierTypeStateIssuer
201011620AMedicaidIN
P00881327OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.bleza@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ND, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040430000272 IN Practitioner - General Surgery 7012904915 Reassigns benefits to 1 organization
I20241204002503 ND Practitioner - General Surgery 7012904915 Reassigns benefits to 1 organization
I20250213000047 TX Practitioner - General Surgery 7012904915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010145671AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center Single Specialty CurrentSince Dec 23, 2024 Accepting new patients
St. Alexius Medical Center Specialist CurrentSince Dec 23, 2024 Accepting new patients
Woodlawn Hospital CurrentSince Aug 1, 2018 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Single Specialty CurrentSince Feb 10, 2025 Accepting new patients
Woodlawn Hospital Single Specialty Current Accepting new patients
Woodlawn Hospital Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
Franciscan Health Crown Point Past Accepting new patients
St Anthony Medical Center Single Specialty Past Accepting new patients

Locations

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 9

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1891893731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463750728",
            "telephone_number": "219-663-8110",
            "fax_number": "219-663-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-353-2021",
            "fax_number": "260-479-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corner of Route N12 and N7",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "865040649",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115th E 113th AVE",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071097",
            "country_code": "US",
            "telephone_number": "219-663-8110",
            "fax_number": "219-663-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEZA",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "010145671A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01045671A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201011620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00881327",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.bleza@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "303 S Main St",
            "city": "Bluffton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467142503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.