JULIETA G TABLANTE-BLANCO (MD) – Cytopathology Physician, NPI 1750377495
Cytopathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
573 PATHOLOGY in MI
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Provider Addresses for JULIETA G TABLANTE-BLANCO (MD)
PO BOX 936
GRANDVILLE, MI 494680936
Phone: (616) 530-3344
Fax: (616) 532-8040
Type: Mailing
2990, Franklin Avenue Southwest, Grandville, Kent County, Michigan, 49418, United States
GRANDVILLE, MI 494183505
Phone: (616) 530-3344
Fax: (616) 532-8040
Type: Location
1355 RIVER BEND DR
DALLAS, TX 752474915
Phone: (512) 439-1600
Fax: (844) 751-9263
Type: Mailing
7455 W WASHINGTON AVE STE 301
LAS VEGAS, NV 891284340
Phone: (702) 732-3441
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.
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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: 2024-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040310000912 | I | Pathology | MI | TBD |
| I20240515004444 | I | Pathology | NV | TBD |
| I20240515004460 | I | Pathology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 630 | 378 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 222 | 190 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 104 | 23 | $0 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 101 | 58 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 96 | 49 | $0 |
Insurance plans in this area (ZIP 49468)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| P A T H O L O G Y | CT | |
| P A T H O L O G Y | NV | |
| P A T H O L O G Y | TX | |
| - | FL | |
| P A T H O L O G Y | NV | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | MO |
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