NIVIANN M BLONDET (MD) – Pediatric Gastroenterology Physician, NPI 1730434796

NIVIANN M BLONDET (MD) is a healthcare provider. based in Dallas, Texas. specializing in UNDEFINED PHYSICIAN TYPE (SPECIFY), PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD60736528 (WA). The NPI Number for NIVIANN M BLONDET (MD) is 1730434796

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
NIVIANN M BLONDET (MD)
NPI
1730434796
Phone
Not provided
Address
1935 MEDICAL DISTRICT DR
Enumeration Date
16 July 2012
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
2065262000
Graduation Year
2010 (16 years ago)
PAC ID
5597056820
Group Practice PAC ID
9133032964
Professional Enrollment ID
I20170411000697
Address ID
WA981053901SE4800XNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

13 UNDEFINED PHYSICIAN TYPE (SPECIFY) in TX

Provider Addresses for NIVIANN M BLONDET (MD)

  • 1935 MEDICAL DISTRICT DR

    DALLAS, TX 752357701

    Phone:

    Type: Mailing

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Type: Mailing

  • 1959 NE PACIFIC ST.

    SEATTLE, WA 981950001

    Phone: (206) 520-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $5,676.

Total Amount is formed as General ($5,676) + Research ($0) + Ownership ($0) = $5,676.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($3,166).

Total Amount

$5,676

General + Research + Ownership

Payments

7

Total payment records

General Amount

$5,676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

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: 2017-04-11

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
I20170411000697IPediatric Transplant HepatologyWATBD

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 75235)

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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: 9133032964View full group profile
NameSpecialtyState
Pediatric MedicineWA
-WA
Pediatric Medicine, Hematology/OncologyCA
-WA
Diagnostic Radiology, Pediatric MedicineWA
Nurse PractitionerWA
A N E S T H E S I O L O G YWA
General Surgery, Thoracic Surgery, Surgical OncologyWA
-WA
-WA

Reviews

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Frequently asked questions

Does NIVIANN M BLONDET (MD) have a public NPI I can cite?
Public records show NIVIANN M BLONDET (MD) under NPI 1730434796.
Quick check: is NIVIANN M BLONDET (MD) active?
Public NPPES data shows NIVIANN M BLONDET (MD) with an active NPI status right now.
What does the directory say NIVIANN M BLONDET (MD) does?
Insurance directories may phrase it differently, but here NIVIANN M BLONDET (MD) maps to Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to NIVIANN M BLONDET (MD)?
The directory associates NIVIANN M BLONDET (MD) with Dallas, Texas. Check all listed addresses for suites or satellite offices.
Who maintains NIVIANN M BLONDET (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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