NPIMap

Individual provider Active NPI

Elaine S Blue, MD

  • Family Medicine Physician
  • Pennsburg, PA
National Provider Identifier
1952355745
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD417809 Issued in PA
Practice address
101 W 7TH St
Suite 2C
Pennsburg, PA 18073-1512
Phone
(215) 679-9321
NPI assigned
May 19, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD417809 PA Primary

Addresses

Primary practice location

101 W 7TH St
Suite 2C
Pennsburg, PA 18073-1512

Mailing address

101 W 7TH St
Suite 2C
Pennsburg, PA 18073-1512
Phone (215) 679-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000376 PA Practitioner - Family Practice 4880766682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC Family Medicine CurrentSince Sep 1, 2002 Accepting new patients

Locations

101 W 7th St
Ste 2C
Pennsburg, PA 18073
Phone (215) 679-9321

420 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-9321

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

Interoperability endpoints

  • Direct secure messaging: elaine.blue@tvpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grand View Home CareSellersville, PA, CCN 397051B Home health agency Corporate Officer Sep 1, 2018
Grandview HospiceQuakertown, PA, CCN 391557 Hospice Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1952355745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 7TH ST",
            "address_2": "SUITE 2C",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731512",
            "telephone_number": "215-679-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 7TH ST",
            "address_2": "SUITE 2C",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731512",
            "telephone_number": "215-679-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "ELAINE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD417809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsburg, PA

Sources for this page

Verify at the official NPI Registry.