Active NPI
Kenneth Sherman Blocher, D.P.M.
- Foot Surgery Podiatrist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0359
- Practice address
- 4821 N Stone Ave
Tucson, AZ 85704-5727 - Phone
- (480) 200-3016
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0359 | AZ | Primary |
Addresses
Primary practice location
4821 N Stone Ave
Tucson, AZ 85704-5727
Mailing address
12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (629) 774-6395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 S 13TH St
Suite 1900
Lincoln, NE 68508-2000
Phone (248) 528-2116
650 J St
Suite 405
Lincoln, NE 68508-2924
Phone (801) 815-6862
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.57 of 100
- Quality
- 62.85
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 3182 |
| Removal or shaving of skin growth | 298 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401 | NE | MD | Mental Health Counselor |
| 0359 | AZ | MD | Acupuncturist |
| 359 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giaimo Podiatry of Nebraska LLC | Current | Accepting new patients | |
| Proactive Wound Care NE Inc | Current | Accepting new patients | |
| Prescott Foot & Ankle Clinic PC | Past | Accepting new patients | |
| Jabez-Blocher, Inc. | Foot Surgery | Past | Accepting new patients |
| Jabez-Blocher, Inc. | Foot Surgery | Past | Accepting new patients |
| Cogent Healthcare of Arizona PC | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
414 N Willson St
Blue Hill, NE 68930
Phone (402) 705-9908
233 S 13th St
Ste 1900
Lincoln, NE 68508
650 J St
Ste 405
Lincoln, NE 68508
Phone (801) 815-6500
Organizations & group practices 6
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.
-
- Podiatrist
- Lincoln, NE
- NPI 1811340417
-
- Nurse Practitioner
- Lincoln, NE
- NPI 1134943780
-
- Foot Surgery Podiatrist
- Gilbert, AZ
- NPI 1902059223
-
- Foot Surgery Podiatrist
- Gilbert, AZ
- NPI 1972783025
-
- Internal Medicine Physician
- Sierra Vista, AZ
- NPI 1568758266
-
- Foot & Ankle Surgery Podiatrist
- Prescott, AZ
- NPI 1407925738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1992745327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR STE 150",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "629-774-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 N STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045727",
"telephone_number": "480-200-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCHER",
"first_name": "KENNETH",
"middle_name": "SHERMAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "AZ",
"license": "0359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.