Timothy Blegen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

LP02131 Issued in RI

Practice address

593 Eddy St
Providence, RI 02903-4923

Phone

(401) 444-4471

Fax

(401) 444-2768

NPI assigned

May 20, 2011

Sex

Male

Sole proprietor

No

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.

• Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD
• NWCP Pediatrics LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1609120278

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tblegen130085@direct.luriechildrens.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2011.

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1982997193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4471",
            "fax_number": "401-444-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4471",
            "fax_number": "401-444-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEGEN",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "LP02131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Blaquiere, MSW, LCSW
• Julio Miguel Blasco Jimenez, MD
• Victoria Alexis Blasi, NP
• Andrew Blazar, MD
• Emily Jean Blefeld, LICSW
• Sydney Katherine Blevins, MD
• Bliss Salon Inc, Dba Bliss Medical Hair Replacement Center
• Bliss Salon Inc, Dba Bliss Medical Hair Replacement Center
• Rachael Bliss, RN, CDOE
• Thomas Francis Bliss Jr., M.D.

• All providers in Providence, RI
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.