1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

OLIVIA BLAZEK MD
NPI 1285128405
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since June 20, 2018PECOS Enrolled
1800 N CAPITAL AVE E371, INDIANAPOLIS, IN 46202(317) 274-0700 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2021, Jul 30, 2021, Jun 20, 2018 (3 updates tracked since 2018).

About Olivia Blazek Md NPPES

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

OLIVIA BLAZEK MD (NPI 1285128405) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (01090334A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285128405
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA BLAZEKCredential: MD
Location Address1800 N CAPITAL AVE E371Indianapolis, IN 46202-1443
Mailing Address1800 N. Capitol Avenue E371Indianapolis, IN 46202 · (610) 291-7953
Phone(317) 274-0700
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateJune 26, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1285128405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in IN · 01090334A✔ Licensed in CT · 68153
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT216716 (PA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 68153 (CT)
1800 N CAPITAL AVE E371, Indianapolis, IN 46202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Blazek 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.

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 Olivia Blazek's NPI number?

The NPI number for Olivia Blazek is 1285128405. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Olivia Blazek located?

Olivia Blazek practices at 1800 N Capital Ave E371, Indianapolis, IN 46202. The listed phone number is (317) 274-0700.

What is Olivia Blazek's specialty?

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

Is Olivia Blazek enrolled in Medicare?

Yes. Olivia Blazek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Blazek was last updated on June 26, 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.