DR. BRIDGETTE A BLAZEK (M.D.) – Obstetrics & Gynecology Physician, NPI 1578542932
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. BRIDGETTE A BLAZEK (M.D.)
1630, West Central Road, Arlington Heights, Wheeling Township, Cook County, Illinois, 60005, United States
ARLINGTON HTS, IL 600052407
Phone: (847) 394-3553
Fax: (847) 394-3574
Type: Mailing
5605 W EUGIE AVE STE 111
GLENDALE, AZ 853041273
Phone: (480) 756-0000
Fax: (855) 636-8770
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: 2019-08-08
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 |
|---|---|---|---|---|
| I20190808001193 | I | Obstetrics/Gynecology | AZ | 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 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | ME | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Undefined Physician Type (Specify), Obstetrics/Gynecology, Obstetrics/Gynecology | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| - | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ |
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