JOHN BLICKLE – Cardiovascular Disease Physician, NPI 1538669023

JOHN BLICKLE is a healthcare provider. based in Ft belvoir, Virginia. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. 0101267712 (VA). The NPI Number for JOHN BLICKLE is 1538669023

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BLICKLE
NPI
1538669023
Phone
Not provided
Address
9300 DEWITT LOOP
Enumeration Date
20 February 2018
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
4346561274
Graduation Year
2018 (8 years ago)
PAC ID
5597174714
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20251107001647
Address ID
VA245572773GR291XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

4,934 INTERNAL MEDICINE in VA

Provider Addresses for JOHN BLICKLE

  • 9300 DEWITT LOOP

    FT BELVOIR, VA 220605285

    Phone:

    Type: Mailing

  • Wisconsin Avenue, Brookdale, Bethesda, Montgomery County, Maryland, 20016-2137, United States

    WALTER REED NATIONAL MILITARY MEDICAL CENTER

    BETHESDA, MD 208890004

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABIOMED ($42).

Total Amount

$74

General + Research + Ownership

Payments

2

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2025-11-07

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
I20251107001647ICardiovascular Disease (Cardiology)VATBD

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 22060)

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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: 4789606088View full group profile
NameSpecialtyState
-VA
-VA
N E U R O S U R G E R YVA
Emergency MedicineVA
Hospitalist, Family PracticeVA
A N E S T H E S I O L O G YGA
Hospitalist, Family PracticeVA
A N E S T H E S I O L O G YVA
General Practice, Family PracticeVA
Emergency MedicineVA

Reviews

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Frequently asked questions

How do payers reference JOHN BLICKLE?
For JOHN BLICKLE, use NPI 1538669023 as the unique 10-digit identifier.
Active or inactive — what applies to JOHN BLICKLE?
You should see JOHN BLICKLE as active in CMS-hosted NPPES data.
What expertise is attributed to JOHN BLICKLE?
JOHN BLICKLE's specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN BLICKLE?
Travel planning: use Ft Belvoir, Virginia as the reference point for JOHN BLICKLE, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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