DR. JACKY BRUCE BLANK M.D.
NPI 1356667430
Internal Medicine - Pulmonary Disease in Miami, FL
About Dr. Jacky Bruce Blank M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKY BRUCE BLANK M.D. (NPI 1356667430) is an individual pulmonary disease provider in Miami, Florida, licensed in Florida (ME101336) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1979).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacky Bruce Blank M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacky Blank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Miami, FL 33143
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Miami, FL 33173
- Reassigned Medicare billing, Florida enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Hospital Of Miami
Acute Care Hospitals · Miami, FLSouth Miami Hospital
Acute Care Hospitals · South Miami, FLDoctors Hospital
Acute Care Hospitals · Coral Gables, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 30
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Jacky Blank's NPI number?
The NPI number for Jacky Blank is 1356667430. It was assigned to this individual provider in the NPPES registry on April 14, 2010.
Where is Jacky Blank located?
Jacky Blank practices at 6200 SW 73 Street, Miami, FL 33143. The listed phone number is (786) 662-8400.
What is Jacky Blank's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Jacky Blank enrolled in Medicare?
Yes. Jacky Blank 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.
Which organizations bill Medicare for Jacky Blank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacky Blank reassigns Medicare benefits to 2 organizations: Benjamin And Blank LLC (South Miami, FL) and Pedro Sevilla LLC (Miami, FL). Each 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 Jacky Blank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacky Blank accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Wellpoint list Jacky Blank 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 Jacky Blank affiliated with any hospitals?
According to CMS data, Jacky Blank is affiliated with Baptist Hospital Of Miami, South Miami Hospital and Doctors Hospital.
When was this NPI record last updated?
The NPPES record for Jacky Blank was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.