JOSHUA AARON BLACKWELL (MD, MSPH) – Family Medicine Physician, NPI 1093334567
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,190 FAMILY PRACTICE in CA
Provider Addresses for JOSHUA AARON BLACKWELL (MD, MSPH)
912 PINE ST
MOUNT SHASTA, CA 960672143
Phone: (205) 603-8010
Type: Location
3719 E ELMWOOD DR
WICHITA, KS 672184824
Phone: (205) 603-8010
Type: Mailing
604 9TH AVE S
BIRMINGHAM, AL 352054508
Phone: (205) 603-8010
Type: Mailing
1500 S MAIN ST
FORT WORTH, TX 761044917
Phone: (817) 702-1244
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109001955 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | NE | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| D E R M A T O L O G Y | CA | |
| Hospitalist, Hematology/Oncology, Internal Medicine | CA | |
| Family Practice | CA |
Reviews
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