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DR. AMANDA BOCK BLAIR M.D.
NPI 1215155197
Pediatrics - Pediatric Hematology-Oncology in Winston Salem, NC

Active since April 23, 2007PECOS Enrolled
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4085(336) 716-3010 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2023, Jun 16, 2016, Dec 22, 2015 (3 updates tracked since 2015).

About Dr. Amanda Bock Blair M.d. NPPES

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

DR. AMANDA BOCK BLAIR M.D. (NPI 1215155197) is an individual pediatric hematology-oncology provider in Winston Salem, North Carolina, licensed in North Carolina (2022-02207) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1215155197
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. AMANDA BOCK BLAIRCredential: M.D.
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-3901
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-0238
Phone(336) 716-4085
Fax(336) 716-3010
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1215155197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in NC · 2022-02207✔ Licensed in TX · N6181✔ Licensed in WA · 60612887
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
MEDICAL CENTER BLVD, Winston Salem, NC 27157
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Bock

Secondary Practice Location 1

Location 14800 Sand Point Way NE, M/S MB.8.501Seattle, WA 98105-3901 · Phone (206) 987-2106 · Fax (206) 987-3946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Bock Blair M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Blair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences
Same address
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

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 Amanda Blair's NPI number?

The NPI number for Amanda Blair is 1215155197. It was assigned to this individual provider in the NPPES registry on April 23, 2007. The provider is also known as Amanda Bock.

Where is Amanda Blair located?

Amanda Blair practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-4085.

What is Amanda Blair's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Amanda Blair enrolled in Medicare?

Yes. Amanda Blair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Blair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Blair reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Blair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Blair accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Amanda Blair 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 Amanda Blair was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.