Individual provider Active NPI

Gregory Blomquist, MD

  • Emergency Medicine Physician
  • Plano, TX
National Provider Identifier
1962625087
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J5544 Issued in TX
Practice address
2401 Preston Rd
Suite D
Plano, TX 75093-2322
Phone
(972) 384-4600
Fax
(972) 384-6404
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J5544 TX Primary

Addresses

Primary practice location

2401 Preston Rd
Suite D
Plano, TX 75093-2322

Mailing address

5040 Sail Creek Dr
Plano, TX 75093-7533
Phone (972) 608-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140210000412 TX Practitioner - Emergency Medicine 4880823012 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Communitymed PCPGroup PAC ID 7618295007, 5 clinicians
Communitymed PLLCGroup PAC ID 9830315126, 46 clinicians
El Dorado Urgent Care, PLLCGroup PAC ID 0547528887, 28 clinicians

Practice addresses (Care Compare)

1000 N Preston Rd
Suite 60B
Prosper, TX 75078-8889
Phone (844) 464-1611

11350 US Hwy 380
Suite 100a
Crossroads, TX 76227-8319
Phone (844) 464-1611

2955 Eldorado Pkwy
Suite 100
Frisco, TX 75033-7202
Phone (682) 707-9707

3210 Midwestern Pkwy
Suite 500a
Wichita Falls, TX 76308-2860
Phone (940) 488-4616

529 Laurence Dr
Heath, TX 75032-1947
Phone (469) 935-8040

6320 US 287 Hwy
Suite 112
Arlington, TX 76001-2868
Phone (817) 778-9883

670 W Princeton Dr
Suite 400a
Princeton, TX 75407-9135
Phone (972) 699-5250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Urgent Care, PLLC CurrentSince Jul 28, 2018 Accepting new patients
Communitymed PCP CurrentSince Dec 1, 2014 Accepting new patients
Woodbridge Physicians Staffing Group, PLLC CurrentSince Jul 28, 2018 Accepting new patients
Communitymed PLLC CurrentSince Jan 1, 2014 Accepting new patients
Innovative Emergency Physicians of Frisco, PA Emergency Medicine CurrentSince Sep 14, 2013 Accepting new patients

Locations

6320 US 287 Hwy
Ste 112
Arlington, TX 76001
Phone (817) 778-9883

3600 FM 407 E
Ste 220
Bartonville, TX 76226
Phone (940) 220-7510

11350 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (214) 296-2945

5500 Sycamore School Rd
Ste 150
Fort Worth, TX 76123
Phone (682) 707-9707

5500 Sycamore School Rd
Ste 100
Fort Worth, TX 76123
Phone (682) 707-9707

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

2955 Eldorado Pkwy
Ste 100
Frisco, TX 75033
Phone (214) 407-8668

2432 Avondale Haslet Rd
Ste 100
Haslet, TX 76052
Phone (682) 312-3969

295 FM 156 S
Ste 300
Haslet, TX 76052
Phone (817) 779-4382

8200 N MacArthur Blvd
#200
Irving, TX 75063
Phone (972) 521-8093

3020 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 282-4014

3591 McKinney St
Ste 400A
Melissa, TX 75454
Phone (729) 464-1611

2619 Sentinel Way
Ste 200
Melissa, TX 75454
Phone (469) 649-8905

2410 FM 663
Midlothian, TX 76065
Phone (469) 965-9600

5208 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (469) 802-7298

670 W Princeton Dr
Ste 400
Princeton, TX 75407
Phone (469) 500-5892

1000 N Preston Rd
Ste 60
Prosper, TX 75078
Phone (469) 342-7010

2001 N Preston Rd
Ste 80
Prosper, TX 75078
Phone (469) 907-5012

3210 Midwestern Pkwy
Ste 500A
Wichita Falls, TX 76308
Phone (940) 488-4616

Organizations & group practices 5

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1962625087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SAIL CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937533",
            "telephone_number": "972-608-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PRESTON RD",
            "address_2": "SUITE D",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932322",
            "telephone_number": "972-384-4600",
            "fax_number": "972-384-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.