LANCE NICHOLAS BLAU (M.D.) – Internal Medicine Physician, NPI 1649530668

LANCE NICHOLAS BLAU (M.D.) is a healthcare provider. based in Boardman, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. S5848 (TX). The NPI Number for LANCE NICHOLAS BLAU (M.D.) is 1649530668

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
LANCE NICHOLAS BLAU (M.D.)
NPI
1649530668
Phone
(330) 729-4298
Address
8401 MARKET ST
Enumeration Date
23 May 2012
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2812529993
Graduation Year
2012 (14 years ago)
PAC ID
8921435108
Group Practice PAC ID
4486902707
Professional Enrollment ID
I20200625001792
Address ID
TX770302703HO6565XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:14State licenses:3Digital endpointsOther names

7,219 INTERNAL MEDICINE in OH

Provider Addresses for LANCE NICHOLAS BLAU (M.D.)

  • 8401 MARKET ST

    BOARDMAN, OH 445126725

    Phone: (330) 729-4298

    Fax: (330) 729-1897

    Mailing address matches the actual address.

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: 2020-06-25

PECOS data refreshed: 2026-06-15

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
I20200625001792IInternal MedicineTXTBD

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 44512)

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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: 4486902707View full group profile
NameSpecialtyState
Internal MedicineMT
H O S P I T A L I S TTX
Internal Medicine, HospitalistTX
H O S P I T A L I S TTX
Internal MedicineOH

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Frequently asked questions

How do I look up LANCE NICHOLAS BLAU (M.D.) by NPI?
Use NPI 1649530668 when you need to reference LANCE NICHOLAS BLAU (M.D.) in forms, claims, or directories.
Is LANCE NICHOLAS BLAU (M.D.) active in the national directory?
LANCE NICHOLAS BLAU (M.D.)'s public NPI profile is in an active state.
What kind of provider is LANCE NICHOLAS BLAU (M.D.)?
The page reflects Internal Medicine Physician for LANCE NICHOLAS BLAU (M.D.). Clinical services aligned with this taxonomy classification.
Where is LANCE NICHOLAS BLAU (M.D.)'s primary listing?
We display Boardman, Ohio because that is what the record indicates for LANCE NICHOLAS BLAU (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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