KEVIN J BLOUNT (MD) – Diagnostic Radiology Physician, NPI 1679795538

KEVIN J BLOUNT (MD) is a healthcare provider. based in Fairfax, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 047419 (CT). The NPI Number for KEVIN J BLOUNT (MD) is 1679795538

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J BLOUNT (MD)
NPI
1679795538
Phone
(703) 698-4444
Address
2722 MERRILEE DR
Enumeration Date
2 May 2007
Last Update Date
12 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2094686000
Graduation Year
2003 (23 years ago)
PAC ID
6709957327
Group Practice PAC ID
6002703436
Professional Enrollment ID
I20240709003329
Address ID
CA952319693FR500XXRDXX478
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:19State licenses:4Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for KEVIN J BLOUNT (MD)

  • 2722, Merrilee Drive, Merrifield, Fairfax (city), Virginia, 22031, United States

    STE 230

    FAIRFAX, VA 220314400

    Phone: (703) 698-4444

    Fax: (703) 204-0116

    Type: Mailing

  • 250 Cherry Ln Ste 116

    Manteca, CA 953374398

    Phone: (209) 647-2184

    Type: Location

  • 790, Church Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    SUITE 400

    MARIETTA, GA 300607282

    Phone: (770) 952-8899

    Fax: (678) 581-3680

    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.

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: 2025-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20110310000587IDiagnostic RadiologyMATBD
I20191004000115IDiagnostic RadiologyNYTBD
I20240709003329IDiagnostic RadiologyCATBD
I20250919003833IDiagnostic RadiologyHITBD

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
71046X-ray of chest, 2 views671634$0
70450Ct scan head or brain without contrast382357$0
77067Screening mammography298298$0
77063Screening 3d breast mammography297297$0
71045X-ray of chest, 1 view296276$0
View full utilization report →

Insurance plans in this area (ZIP 22031)

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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: 6002703436View full group profile
NameSpecialtyState
-CA
Diagnostic Radiology, Interventional RadiologyMA
Diagnostic RadiologyCA
-CA
Orthopedic SurgeryCA
-WV
Diagnostic RadiologyCA
-TX
General SurgeryCA
Interventional Radiology, Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What is KEVIN J BLOUNT (MD)'s NPI number?
KEVIN J BLOUNT (MD)'s NPI is 1679795538 — the number used across U.S. healthcare to identify this provider.
Is KEVIN J BLOUNT (MD) shown as active in public data?
Registry records indicate KEVIN J BLOUNT (MD) maintains an active NPI.
What clinical focus is listed for KEVIN J BLOUNT (MD)?
At a glance, KEVIN J BLOUNT (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN J BLOUNT (MD) associated with Fairfax?
Public fields place KEVIN J BLOUNT (MD) around Fairfax, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KEVIN J BLOUNT (MD) is noted as May 2, 2007 where the registry provides it.

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