Active NPI
Randal Steven Blank, M.D.
- Anesthesiology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101058927
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-0001 - Phone
- (434) 984-2283
- Fax
- (434) 982-0019
- NPI assigned
- Jun 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101058927 | VA | |
| Anesthesiology Physician | 207L00000X | 0101058927 | VA | Primary |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-0001
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1204 W Main St
Charlottesville, VA 22903-2824
Phone (434) 982-6100
Other practice location 2
500 Monroe Ln
Charlottesville, VA 22903-3318
Phone (434) 924-9999
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017182F85 | Other | MD | MD MEDICARE GROUP G04185 |
| 601285800 | Other | FECA | |
| 839ML475 | Other | MD | MD MEDICARE GROUP 839M |
| 407012700 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rblank7181@direct.healthsystem.virginia.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Anesthesiology
- Education
- University of Virginia School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 243-1000
Hospital & facility affiliations
- University of Virginia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101058927 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Past | Accepting new patients |
Locations
1215 Lee St
Fl 2
Charlottesville, VA 22908
Phone (434) 243-6628
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1240 Lee St
Charlottesville, VA 22908
500 Monroe Ln
Charlottesville, VA 22903
Phone (434) 924-9999
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Interoperability endpoints
- rblank7181@direct.healthsystem.virginia.edu
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1932147295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-984-2283",
"fax_number": "434-982-0019"
}
],
"practiceLocations": [
{
"address_1": "1204 W Main St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229032824",
"country_code": "US",
"telephone_number": "434-982-6100",
"fax_number": "434-982-0747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Monroe Ln",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229033318",
"country_code": "US",
"telephone_number": "434-924-9999",
"fax_number": "434-982-0768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANK",
"first_name": "RANDAL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101058927",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101058927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD MEDICARE GROUP G04185",
"identifier": "017182F85",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA",
"identifier": "601285800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD MEDICARE GROUP 839M",
"identifier": "839ML475",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407012700",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rblank7181@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1215 Lee St",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.