RICHARD A. BLATTER D.O. – NPI #1154682565
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

RICHARD BLATTER is an urologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1154682565 to RICHARD BLATTER on June 01, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICHARD BLATTER below.

NPI Profile for
RICHARD A. BLATTER

NPI Number
1154682565
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD A. BLATTER
Credentials
D.O.
Primary location
2001 S WOODRUFF AVE STE 4
IDAHO FALLS, ID 83404-6371
Phone: (208) 524-4511 Fax: (208) 524-4540
1 Other location(s):
909 Fee Rd
MSU/GMEI Uro Surgery, West Fee Hall, Room B415
East Lansing, MI 48824-6537
Phone: (517) 353-8470
Fax: (517) 432-1074
Mailing address
2375 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone: (208) 552-1234 Fax: (208) 524-4540
Sole Proprietor
Yes
Updated
Certification Date
Aug 31, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RICHARD BLATTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERIDAHO STATE LICENSEIDO-1041
MEDICAIDMI1154682565
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 MI 5315055574

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RICHARD BLATTER is affiliated with the following medical group(s):
  • HOSPITAL
    • EASTERN IDAHO REGIONAL MEDICAL CENTER
      3100 CHANNING WAY
      IDAHO FALLS, ID 83404
    • IDAHO FALLS COMMUNITY HOSPITAL, LLC
      2327 CORONADO ST
      IDAHO FALLS, ID 83404
    • MADISON MEMORIAL HOSPITAL
      450 EAST MAIN STREET
      REXBURG, ID 83440
    • MOUNTAIN VIEW HOSPITAL
      1485 PARKWAY DRIVE
      BLACKFOOT, ID 83221
  • HOME HEALTH AGENCY
    • ENHABIT HOME HEALTH OF EASTERN IDAHO
      3686 WASHINGTON PARKWAY
      IDAHO FALLS, ID 83404

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