Individual provider Active NPI

Tara Blitz-Herbel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fall River, MA
National Provider Identifier
1932366366
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006385-1 Issued in NY
Practice address
277 Pleasant St BLDG 1
Fall River, MA 02721-3005
Phone
(212) 410-8000
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00306400 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 2345 MA
Foot & Ankle Surgery Podiatrist 213ES0103X N006385-1 NY Primary

Addresses

Primary practice location

277 Pleasant St BLDG 1
Fall River, MA 02721-3005

Mailing address

2 Edge Hill Rd
Sharon, MA 02067-1013
Phone (646) 634-5500

Other names 1

  • Dr. Tara Blitz Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000710 MA Practitioner - Podiatry 3072681717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

289 Pleasant St
Suite 202
Fall River, MA 02721-3005
Phone (508) 678-2503

Hospital & facility affiliations

  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions23
Removal of nail tissue626
Removal or shaving of skin growth82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006385-1NYMDFoot & Ankle Surgery Podiatrist
006385NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC CurrentSince Jul 16, 2018 Accepting new patients
Prima Care, PC CurrentSince Dec 1, 2023 Accepting new patients
Tri-Town Podiatry, P.C. CurrentSince Mar 31, 2019 Accepting new patients
Prima Care, PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

510 Chapman St
#1A
Canton, MA 02021
Phone (781) 575-1454

289 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 677-0733

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

277 Pleasant St
Bldg 1
Fall River, MA 02721
Phone (212) 410-8000

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9291/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1932366366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EDGE HILL RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671013",
            "telephone_number": "646-634-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST BLDG 1",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "212-410-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITZ-HERBEL",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00306400",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2345",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006385-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BLITZ",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.