Individual provider Active NPI

Kenneth Sherman Blocher, D.P.M.

  • Foot Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1992745327
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0359 Issued in AZ
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

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003841 NE Practitioner - Podiatry 6608813423 Reassigns benefits to 2 organizations

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
Giaimo Podiatry of Nebraska LLCGroup PAC ID 9931495645, 3 clinicians
Proactive Wound Care NE IncGroup PAC ID 1759807977, 5 clinicians

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 100Reported as group
Quality
62.85
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3182
Removal or shaving of skin growth298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
401NEMDMental Health Counselor
0359AZMDAcupuncturist
359AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Giaimo Podiatry of Nebraska LLC CurrentSince Jul 15, 2024 Accepting new patients
Proactive Wound Care NE Inc CurrentSince May 18, 2026 Accepting new patients
Prescott Foot & Ankle Clinic PC Past Accepting new patients
Jabez-Blocher, Inc. Foot Surgery PastSince Mar 1, 2001 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.

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

Verify at the official NPI Registry.