Individual provider Active NPI

Douglas M Bluth, DPM

  • Podiatrist
  • Hanford, CA
National Provider Identifier
1982044640
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5254 Issued in CA
Practice address
806 W 7TH St
Hanford, CA 93230
Phone
(559) 584-5196
Fax
(559) 584-9807
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X T37-2013 TX
Podiatrist 213E00000X E5254 CA Primary

Addresses

Primary practice location

806 W 7TH St
Hanford, CA 93230

Mailing address

806 W 7TH St
Hanford, CA 93230-4926
Phone (559) 584-5196

Other practice location 1

1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone (713) 756-8217

Other practice location 2

1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone (713) 756-8217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621002596 CA Practitioner - Podiatry 0749571883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Kings Foot and Ankle Center, Inc.Group PAC ID 7214849306, 3 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

806 W 7TH St
Hanford, CA 93230-4926
Phone (559) 584-5196

Hospital & facility affiliations

  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue211
Removal of nail tissue806
Removal or shaving of skin growth484
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5254CAMDPodiatrist
5254CAMDOccupational Therapy Assistant
T37-2013TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Foot and Ankle Center, Inc. Podiatrist CurrentSince Sep 17, 2016 Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

806 W 7th St
Hanford, CA 93230
Phone (559) 584-5196

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1982044640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W 7TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-584-5196",
            "fax_number": "559-584-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W 7TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-584-5196",
            "fax_number": "559-584-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 St Joseph Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028301",
            "country_code": "US",
            "telephone_number": "713-756-8217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 St Joseph Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028301",
            "country_code": "US",
            "telephone_number": "713-756-8217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUTH",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T37-2013",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.