Active NPI
Michael Blue, M.D.
- Emergency Medicine Physician
- Lone Pine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35045068-B
- Practice address
- 501 E Locust St
Lone Pine, CA 93545-8044 - Phone
- (760) 876-5501
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME149711 | FL | |
| Emergency Medicine Physician | 207P00000X | 35045068-B | OH | Primary |
Addresses
Primary practice location
501 E Locust St
Lone Pine, CA 93545-8044
Mailing address
8223 Bibury LN
Dublin, OH 43016-7354
Phone (614) 571-4313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061018000074 | OH | Practitioner - Emergency Medicine | 6103807615 | Reassigns benefits to 4 organizations |
| I20150604001496 | CA | Practitioner - Emergency Medicine | 6103807615 | Reassigns benefits to 1 organization |
| I20221013002712 | FL | Practitioner - Emergency Medicine | 6103807615 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Inyo Healthcare District
Practice addresses (Care Compare)
501 E Locust St
Lone Pine, CA 93545-8044
Phone (760) 876-5501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87766 | CA | MD | Clinical Social Worker |
| 35045068-B | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Integrated Care LLC | Current | Accepting new patients | |
| Cep America - Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Southern Inyo Healthcare District | Current | Accepting new patients | |
| Cep America - Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Mount Carmel Health System | Current | Accepting new patients | |
| Southern Inyo Healthcare District | Current | Accepting new patients | |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Wedgewood Urgent Care, LTD | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
775 W Broad St
Ste 260
Columbus, OH 43222
Phone (614) 234-2205
7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1477086346
Emergency Medicine, OH
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
- NPI 1346104486
OH
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
Emergency Medicine, OH
-
- Rural Health Clinic/Center
- Lone Pine, CA
- NPI 1063589174
-
- Emergency Medicine Physician
- Lewis Center, OH
- NPI 1306351143
Emergency Medicine
-
- Family Medicine Physician
- Powell, OH
- NPI 1487601167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1962441501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8223 BIBURY LN",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430167354",
"telephone_number": "614-571-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E LOCUST ST",
"city": "LONE PINE",
"state": "CA",
"postal_code": "935458044",
"telephone_number": "760-876-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2022-09-30",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME149711",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35045068-B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Pine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.