MARY E BLAHA DO
NPI 1164914628
Emergency Medicine in Indianapolis, IN

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1701 N SENATE BLVD OFC AG012, INDIANAPOLIS, IN 46202(317) 962-3525 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Mary E Blaha Do NPPES

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

MARY E BLAHA DO (NPI 1164914628) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Indiana (02006214A) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1164914628
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY E BLAHACredential: DO
Location Address1701 N SENATE BLVD OFC AG012Indianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1164914628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 02006214A
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.
1701 N SENATE BLVD OFC AG012, Indianapolis, IN 46202

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-3525

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

Mary E Blaha Do 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 ID6901151786
PECOS Enrollment IDI20210129000362
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
367 services355 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
338 services330 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
90 services90 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services58 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.38
Improvement Activities40

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 Mary Blaha's NPI number?

The NPI number for Mary Blaha is 1164914628. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Mary Blaha located?

Mary Blaha practices at 1701 N Senate Blvd Ofc Ag012, Indianapolis, IN 46202. The listed phone number is (317) 962-3525.

What is Mary Blaha's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Blaha enrolled in Medicare?

Yes. Mary Blaha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Blaha accept?

Health plans from CareSource list Mary Blaha 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.

Is Mary Blaha affiliated with any hospitals?

According to CMS data, Mary Blaha is affiliated with Community Howard Regional Health Inc., Community Hospital East, Community Hospital South, Inc. and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Mary Blaha was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.