Active NPI
Robert S Bliss, MD
- Family Medicine Physician
- Florence, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 028322
- Practice address
- 501 W 5TH St
Florence, CO 81226-1126 - Phone
- (719) 784-4816
- Fax
- (719) 784-6014
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 028322 | CO | Primary |
Addresses
Primary practice location
501 W 5TH St
Florence, CO 81226-1126
Mailing address
501 W 5TH St
Florence, CO 81226-1126
Phone (719) 784-4816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05638952 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101112000462 | CO | Practitioner - Family Practice | 8628263852 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 W 5TH St
Florence, CO 81226-1126
Phone (719) 784-4816
Hospital & facility affiliations
- Sangre de Cristo Hospice & Palliative Care
- St Thomas More Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028322 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Medical Center LLC | Family Medicine | Current | Accepting new patients |
| Sangre de Cristo Hospice & Palliative Care | Family Medicine | Current | Accepting new patients |
Locations
601 Greenwood Ave
Canon City, CO 81212
501 W 5th St
Florence, CO 81226
Phone (719) 784-4816
1920 Valley Dr
Pueblo, CO 81008
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Florence, CO
- NPI 1053308858
CO, Family Medicine
-
- Community Based Hospice Care Agency
- Pueblo, CO
- NPI 1326041252
CO, Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Canon City, CO
- NPI 1710052501
Hospital
-
- Critical Access Hospital
- Canon City, CO
- NPI 1922012350
Hospital
-
- Community Based Hospice Care Agency
- Pueblo, CO
- NPI 1326041252
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1972505964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W 5TH ST",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812261126",
"telephone_number": "719-784-4816",
"fax_number": "719-784-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 5TH ST",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812261126",
"telephone_number": "719-784-4816",
"fax_number": "719-784-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "028322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05638952",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.