CARLOS JAVIER BLANCO (MD) – Pediatric Cardiology Physician, NPI 1568625200

CARLOS JAVIER BLANCO (MD) is a healthcare provider. based in Orlando, Florida. specializing in PEDIATRIC MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. ME111671 (FL). The NPI Number for CARLOS JAVIER BLANCO (MD) is 1568625200

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CARLOS JAVIER BLANCO (MD)
NPI
1568625200
Phone
(407) 649-6944
Address
92 W MILLER ST
Enumeration Date
2 July 2008
Last Update Date
27 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9196848111
Graduation Year
2003 (23 years ago)
PAC ID
2668661182
Group Practice PAC ID
8325412737
Professional Enrollment ID
I20241219002824
Address ID
NC277054699DU2301XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for CARLOS JAVIER BLANCO (MD)

  • Bert Martin's Champions for Children Emergency Department & Trauma Center, 92, Miller Street, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328062032

    Phone: (407) 649-6944

    Fax: (321) 841-4260

    Type: Mailing

  • 1530 Celebration Blvd Ste 408

    Celebration, FL 347475165

    Phone: (407) 303-2001

    Type: Location

  • 2501 N Orange Ave Ste 442

    Orlando, FL 328044644

    Phone: (407) 303-2001

    Type: Location

  • 3100 E Fletcher Ave Ste 126

    Tampa, FL 336134613

    Phone: (813) 756-1740

    Type: Location

  • 2200 Fowler Grove Blvd Ste 200

    Winter Garden, FL 347875597

    Phone: (407) 303-2001

    Type: Location

  • 755 Rinehart Rd Ste 100

    Lake Mary, FL 327464885

    Phone: (407) 303-2001

    Type: Location

  • 305 Memorial Medical Pkwy Ste 408

    Daytona Beach, FL 321175169

    Phone: (407) 303-2001

    Type: Location

  • 6609 N Wickham Rd Ste 104

    Melbourne, FL 329402043

    Phone: (407) 303-2001

    Type: Location

  • 2501 N ORANGE AVE STE 310

    ORLANDO, FL 328044642

    Phone: (407) 303-2001

    Type: Mailing

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: 2024-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120214000842ICardiovascular Disease (Cardiology)FLTBD
I20241219002824IPediatric MedicineNCTBD

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 32806)

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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: 8325412737View full group profile
NameSpecialtyState
N E U R O L O G YAL
Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)NC
Hematology, PathologyNC
Infectious DiseaseNC
O B S T E T R I C S/ G Y N E C O L O G YNC
Physician AssistantTX
Rheumatology, Internal MedicineNC
Pediatric MedicineNC
O P H T H A L M O L O G YNC

Reviews

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Frequently asked questions

How is CARLOS JAVIER BLANCO (MD) identified in CMS data?
CMS-hosted NPPES data lists CARLOS JAVIER BLANCO (MD) with NPI 1568625200.
Does the file indicate CARLOS JAVIER BLANCO (MD) is practicing under active NPI?
Directory data currently reports CARLOS JAVIER BLANCO (MD) as active.
What taxonomy line describes CARLOS JAVIER BLANCO (MD)?
For research purposes, treat CARLOS JAVIER BLANCO (MD) as Pediatric Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is CARLOS JAVIER BLANCO (MD) based?
CARLOS JAVIER BLANCO (MD) is tied to Orlando, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
11 practice locations appear in the available data.

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