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DR. TERRA RUPERT BLATNIK MD
NPI 1508066317
Pediatrics - Sports Medicine in Saint Louis, MO

Active since July 19, 2007PECOS Enrolled
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110(314) 514-3500(314) 878-7678 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Nov 15, 2021, Nov 12, 2021 and 5 more (8 updates tracked since 2015).

About Dr. Terra Rupert Blatnik Md NPPES

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

DR. TERRA RUPERT BLATNIK MD (NPI 1508066317) is an individual sports medicine provider in Saint Louis, Missouri, licensed in Missouri (2015013430) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508066317
Entity TypeIndividualFemale
Primary Taxonomy2080S0010X
Provider Legal NameDR. TERRA RUPERT BLATNIKCredential: MD
Location Address4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12ASaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 514-3500 · Fax (314) 878-7678
Phone(314) 514-3500
Fax(314) 878-7678
Sole ProprietorNo
Enumeration DateJuly 19, 2007
Last NPPES UpdateOctober 9, 20258 updates tracked since enumeration
✔ NPI 1508066317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in MO · 2015013430
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
4921 PARKVIEW PL, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid200023315MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Terra Rupert Blatnik 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.

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.

MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-0410
DR. CHARLES PHILLIPS JONES MD
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8200
DR. PRABHA RANGANATHAN MD
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
St. Louis City (314) 286-2635
DR. RALPH GERARD DACEY JR. MD
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
DR. KRASIMIRA MIKHAILOVA MIKHOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1291
DR. JEE YOUNG HAN MD
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1408
MS. MAREN JORGENSEN OT
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1669
DR. ADRIAN SHIFREN MD
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

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 Terra Blatnik's NPI number?

The NPI number for Terra Blatnik is 1508066317. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Terra Blatnik located?

Terra Blatnik practices at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110. The listed phone number is (314) 514-3500.

What is Terra Blatnik's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Terra Blatnik enrolled in Medicare?

Yes. Terra Blatnik is registered in the Medicare PECOS enrollment system.

What insurance does Terra Blatnik accept?

Health plans from Cox HealthPlans list Terra Blatnik 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 Terra Blatnik was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.