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ELI BLANEY MD
NPI 1104764737
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 24, 2026PECOS Enrolled
395 W 12TH AVE FL 3, COLUMBUS, OH 43210(614) 293-3989(614) 293-9789 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eli Blaney Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELI BLANEY MD (NPI 1104764737) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104764737
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELI BLANEYCredential: MD
Location Address395 W 12TH AVE FL 3Columbus, OH 43210-1267
Mailing Address395 W 12th Ave Fl 3Columbus, OH 43210-1267 · (614) 293-3989 · Fax (614) 293-9789
Phone(614) 293-3989
Fax(614) 293-9789
Sole ProprietorYes
Enumeration DateMarch 24, 2026
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1104764737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

395 W 12TH AVE FL 3, Columbus, OH 43210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eli Blaney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY NICHOLAS JUSTICE
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
TANVI BAFNA MD, MPH
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
MR. WILLIAM JOHN PELLEGRINO
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
KAMEL AOUN
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
DR. ANTHONY MANSOUR
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
NICOLE VARDA MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
CLIFFORD WILFRED UKARAJIT
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
NICOLE DANIELLE HESS MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eli Blaney's NPI number?

The NPI number for Eli Blaney is 1104764737. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Eli Blaney located?

Eli Blaney practices at 395 W 12th Ave Fl 3, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is Eli Blaney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eli Blaney enrolled in Medicare?

Yes. Eli Blaney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eli Blaney was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.