MARIE-NIRVA BLAISE MD
NPI 1396833588
Internal Medicine - Gastroenterology in Bronx, NY

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
760 GRAND CONCOURSE, BRONX, NY 10451(718) 518-5550(718) 518-5111 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie-nirva Blaise Md NPPES

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

MARIE-NIRVA BLAISE MD (NPI 1396833588) is an individual gastroenterology provider in Bronx, New York, licensed in New York (207405) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1396833588
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMARIE-NIRVA BLAISECredential: MD
Location Address760 GRAND CONCOURSEBronx, NY 10451-3049
Mailing Address653 Lawrence StElmont, NY 11003-4615 · (516) 561-1318 · Fax (718) 401-2888
Fax(718) 518-5111
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 11, 2014
NPI 1396833588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 207405
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 207405 (NY)
760 GRAND CONCOURSE, Bronx, NY 10451

Other Identifiers 3

Medicaid02809763NY
Other207405NY · Nys License
Medicare PIN491AB1NY

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

Marie-nirva Blaise Md 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 ID6305846221
PECOS Enrollment IDI20061227000368
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 10451 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
760 GRAND CONCOURSE
BRONX, NY 10451
Pharmacy (Community/Retail Pharmacy)
760 GRAND CONCOURSE
BRONX, NY 10451
Pharmacist
760 GRAND CONCOURSE
BRONX, NY 10451

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 Marie-nirva Blaise's NPI number?

The NPI number for Marie-nirva Blaise is 1396833588. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Marie-nirva Blaise located?

Marie-nirva Blaise practices at 760 Grand Concourse, Bronx, NY 10451. The listed phone number is (718) 518-5550.

What is Marie-nirva Blaise's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marie-nirva Blaise enrolled in Medicare?

Yes. Marie-nirva Blaise 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.

When was this NPI record last updated?

The NPPES record for Marie-nirva Blaise was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.