Individual provider Active NPI

Michael Blue, M.D.

  • Emergency Medicine Physician
  • Lone Pine, CA
National Provider Identifier
1962441501
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35045068-B Issued in OH
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

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 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
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 DistrictGroup PAC ID 7911816731, 24 clinicians

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

LicenseStateTypeSpecialty
87766CAMDClinical Social Worker
35045068-BOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Integrated Care LLC CurrentSince Dec 18, 2025 Accepting new patients
Cep America - Ohio LLC Emergency Medicine CurrentSince Jan 1, 2018 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 CurrentSince Aug 2, 2015 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince May 1, 2017 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.

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

Verify at the official NPI Registry.