KAREN ALICE BLANCHARD M.D.
NPI 1457521635
Internal Medicine in New York, NY

Active since March 04, 2008PECOS EnrolledAccepts Medicare Assignment
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(212) 241-1653(212) 289-6393 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Alice Blanchard M.d. NPPES

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

KAREN ALICE BLANCHARD M.D. (NPI 1457521635) is an individual internal medicine provider in New York, New York, licensed in New York (274711) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Emory University School Of Medicine (2007).

NPPES Registry Identity

NPI1457521635
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN ALICE BLANCHARDCredential: M.D.
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address1 Gustave L Levy Pl, Box 3000New York, NY 10029-6504 · (212) 987-3100 · Fax (212) 731-5210
Fax(212) 289-6393
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2007
Enumeration DateMarch 4, 2008
Last NPPES UpdateJanuary 6, 2022
NPI 1457521635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NY · 274711 Licensed in GA · 002863
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 GUSTAVE L LEVY PL, New York, NY 10029

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

Karen Alice Blanchard 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.

PECOS PAC ID6204022684
PECOS Enrollment IDI20101124000485
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.

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029

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 Karen Blanchard's NPI number?

The NPI number for Karen Blanchard is 1457521635. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Karen Blanchard located?

Karen Blanchard practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 241-1653.

What is Karen Blanchard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Blanchard enrolled in Medicare?

Yes. Karen Blanchard 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.

Is Karen Blanchard affiliated with any hospitals?

According to CMS data, Karen Blanchard is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Karen Blanchard was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.