MARTIN BLODA (M.D.) – General Practice Physician, NPI 1629315353

MARTIN BLODA (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in General Practice Physician. They hold the professional credentials M.D.. They hold a License No. 4301092346 (MI). The NPI Number for MARTIN BLODA (M.D.) is 1629315353

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN BLODA (M.D.)
NPI
1629315353
Phone
(248) 670-4790
Address
1576 MARYLAND CLUB DR
Enumeration Date
15 January 2013
Last Update Date
15 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5176733191
Graduation Year
2008 (18 years ago)
PAC ID
8921241266
Group Practice PAC ID
5496650723
Professional Enrollment ID
I20130905000343
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MARTIN BLODA (M.D.)

  • 1576 MARYLAND CLUB DR

    ROYAL OAK, MI 480674501

    Phone: (248) 670-4790

    Type: Mailing

  • 34336 HARPER AVE

    CLINTON TOWNSHIP, MI 480353704

    Phone: (586) 791-9173

    Fax: (586) 791-9393

    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: 2013-09-05

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
I20130905000343IGeneral PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11225$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3513$0
View full utilization report →

Insurance plans in this area (ZIP 48067)

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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: 5496650723View full group profile

Reviews

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Frequently asked questions

What is MARTIN BLODA (M.D.)'s NPI number?
MARTIN BLODA (M.D.)'s NPI is 1629315353 — the number used across U.S. healthcare to identify this provider.
Would MARTIN BLODA (M.D.) appear as active to a payer?
You can treat MARTIN BLODA (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MARTIN BLODA (M.D.)'s focus?
For MARTIN BLODA (M.D.), the primary taxonomy reads as General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MARTIN BLODA (M.D.)?
Directory geography for MARTIN BLODA (M.D.) centers on Royal Oak, Michigan.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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