CODY BLENTLINGER
NPI 1124713755
Emergency Medicine in Phoenix, AZ

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2025, May 12, 2024, Apr 10, 2023 (3 updates tracked since 2023).

About Cody Blentlinger NPPES

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

CODY BLENTLINGER (NPI 1124713755) is an individual emergency medicine provider in Phoenix, Arizona, licensed in Arizona (011822) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2023).

NPPES Registry Identity

NPI1124713755
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCODY BLENTLINGER
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address3100 N Central Ave # 711dPhoenix, AZ 85012-2637
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2023
Enumeration DateApril 10, 2023
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1124713755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in AZ · 011822
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2601 E ROOSEVELT ST, Phoenix, AZ 85008

Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4496 · Phone (602) 406-3000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cody Blentlinger is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709396591
PECOS Enrollment IDI20250923004440
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124713755, enumerated as an "individual" on April 10, 2023.

The provider is located at 2601 E ROOSEVELT ST PHOENIX, AZ 85008 and the phone number is (602) 344-5011.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.