1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Pediatrics
  6. NPI Profile

RICHARD THOMAS BLASZAK MD
NPI 1114017779
Pediatrics - Pediatric Nephrology in Little Rock, AR

Active since October 13, 2006PECOS Enrolled
1 CHILDRENS WAY # 512, LITTLE ROCK, AR 72202(501) 364-1847(501) 364-1870 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Thomas Blaszak Md NPPES

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

RICHARD THOMAS BLASZAK MD (NPI 1114017779) is an individual pediatric nephrology provider in Little Rock, Arkansas, licensed in Arkansas (E-2089) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114017779
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameRICHARD THOMAS BLASZAKCredential: MD
Location Address1 CHILDRENS WAY # 512Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 512Little Rock, AR 72202-3500 · (501) 364-1847 · Fax (501) 364-1780
Phone(501) 364-1847
Fax(501) 364-1870
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 16, 2016
✔ NPI 1114017779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in AR · E-2089
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
1 CHILDRENS WAY # 512, Little Rock, AR 72202
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING88389
Medicaid136438001AR
Medicare PIN5L116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Thomas Blaszak 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers22 claims601 services$6.14 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier21 claims2,175 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier23 claims723 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier17 claims17 services$17.80 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier30 claims30 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

MEGAN E CHILDRESS
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. MATTHEW GLENN SMITH MD
Pediatrics
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
EMILY N SANDERS M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MATTHEW W MAREADY MD
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
KATHLEEN E ZANI
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
LINDSEY N HAACK M.D.
Pediatrics
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
JOHN BURCKHARDT BLOCK MD
Pediatrics
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
KAITLIN E COCKERELL M.D.
Pediatrics
1 CHILDRENS WAY # 512
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Richard Blaszak's NPI number?

The NPI number for Richard Blaszak is 1114017779. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Richard Blaszak located?

Richard Blaszak practices at 1 Childrens Way # 512, Little Rock, AR 72202. The listed phone number is (501) 364-1847.

What is Richard Blaszak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Richard Blaszak enrolled in Medicare?

Yes. Richard Blaszak is registered in the Medicare PECOS enrollment system.

What insurance does Richard Blaszak accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Richard Blaszak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Blaszak was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.