ROBERT BLANK (MD) – Cardiovascular Disease Physician, NPI 1568822476

ROBERT BLANK (MD) is a healthcare provider. based in Dayton, Ohio. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. DR.0069675 (CO). The NPI Number for ROBERT BLANK (MD) is 1568822476

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT BLANK (MD)
NPI
1568822476
Phone
(937) 208-2004
Address
128 E APPLE ST
Enumeration Date
4 March 2016
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3037891400
Graduation Year
2016 (10 years ago)
PAC ID
8729374723
Group Practice PAC ID
9032486642
Professional Enrollment ID
I20230801004192
Address ID
CO801102471EN401XXPLXX412
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

Provider Addresses for ROBERT BLANK (MD)

  • 128 E APPLE ST

    2ND FLOOR

    DAYTON, OH 454092902

    Phone: (937) 208-2004

    Fax: (937) 208-8828

    Type: Mailing

  • 777 Bannock St

    Denver, CO 802044597

    Phone: (303) 436-6000

    Type: Location

  • 4102 PINION DR STE 100

    USAF ACADEMY, CO 808402502

    Phone: (719) 524-2273

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Baxter Healthcare ($36).

Total Amount

$119

General + Research + Ownership

Payments

6

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2023-08-01

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
I20230801004192IInternal MedicineCOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10073$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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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: 9032486642View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineKS
Cardiovascular Disease (Cardiology)CO
-CO
Cardiovascular Disease (Cardiology)CO

Reviews

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Frequently asked questions

Does ROBERT BLANK (MD) have a public NPI I can cite?
Public records show ROBERT BLANK (MD) under NPI 1568822476.
Should I treat ROBERT BLANK (MD) as an active provider?
Patients and plans typically see ROBERT BLANK (MD) as active in the national extract.
What type of care does ROBERT BLANK (MD) provide?
ROBERT BLANK (MD)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT BLANK (MD) tied to Dayton, Ohio?
If you are local to Dayton, Ohio, ROBERT BLANK (MD) may be relevant to your search.
Why is information missing for ROBERT BLANK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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