NATALY BLANCO (MD) – Student in an Organized Health Care Education/Training Program, NPI 1083243885

NATALY BLANCO (MD) is a healthcare provider. based in Miami, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. The NPI Number for NATALY BLANCO (MD) is 1083243885

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NATALY BLANCO (MD)
NPI
1083243885
Phone
(305) 213-9526
Address
11750 BIRD RD
Enumeration Date
3 April 2020
Last Update Date
3 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3057167440
Graduation Year
2020 (6 years ago)
PAC ID
6406387687
Group Practice PAC ID
8426413931
Professional Enrollment ID
I20240927002748
Address ID
FL331784866DO10915STXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for NATALY BLANCO (MD)

  • 11750 BIRD RD

    MIAMI, FL 331753530

    Phone: (305) 213-9526

    Fax: (305) 485-2962

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Inari Medical, Inc. ($72).

Total Amount

$140

General + Research + Ownership

Payments

3

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240927002748IEmergency MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33175)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426413931View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineTX
Family PracticeGA
Nurse PractitionerFL
Emergency MedicinePA
Nurse PractitionerMA
Emergency MedicineFL
Family Practice, Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm NATALY BLANCO (MD)'s NPI?
Yes. NATALY BLANCO (MD) is listed with NPI 1083243885 in the public NPI dataset.
Is NATALY BLANCO (MD) listed as active for patients and plans?
The listing shows NATALY BLANCO (MD) as active in the NPI system.
What is NATALY BLANCO (MD)'s primary classification?
Student in an Organized Health Care Education/Training Program is the headline specialty for NATALY BLANCO (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for NATALY BLANCO (MD)?
NATALY BLANCO (MD)'s geographic hint is Miami, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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